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BRANDON CLARK
NPI 1891537908
Case Manager/Care Coordinator in Baltimore, MD

Active since June 10, 2024
3310 EASTERN AVE, BALTIMORE, MD 21224(667) 239-5502 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON CLARK (NPI 1891537908) is an individual case manager/care coordinator provider in Baltimore, Maryland, licensed in Maryland (ADT3350) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1891537908
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRANDON CLARK
Location Address3310 EASTERN AVEBaltimore, MD 21224-4108
Mailing Address8127 Evening Star Dr Unit 251Pasadena, MD 21122-2487 · (443) 980-5236
Phone(667) 239-5502
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1891537908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in MD · ADT3350
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3310 EASTERN AVE, Baltimore, MD 21224
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIYANA K CLARKE
Counselor (Mental Health)
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (917) 214-6536
MARCO BREWER
Peer Specialist
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 708-5056
DESIREE WALLACE
Counselor (Addiction (Substance Use Disorder))
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 708-5056
MUKARAM SALAKO
Counselor (Addiction (Substance Use Disorder))
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 708-5056
MASADEY BLALOCK
Counselor (Mental Health)
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 202-7401
MS. ANGELA ROSE REMMERS ALCOHOL DRUG TRAINEE
Counselor
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 623-1541
MRS. TERESA N/A STREETER-BUSTER
Case Manager/Care Coordinator
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 708-5056
SAMONNE A WHITEHEAD MSW, ADT
Counselor
3310 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 708-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1891537908. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Brandon Clark located?

Brandon Clark practices at 3310 Eastern Ave, Baltimore, MD 21224. The listed phone number is (667) 239-5502.

What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.