MS. ANNIE CLARK
NPI 1902478662
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since July 13, 2021
3408 ANDOVER ST, OAKLAND, CA 94609(510) 547-1531 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Annie Clark NPPES

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

MS. ANNIE CLARK (NPI 1902478662) is an individual addiction (substance use disorder) provider in Oakland, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1902478662
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. ANNIE CLARK
Location Address3408 ANDOVER STOakland, CA 94609-2817
Mailing Address2000 Camanche Rd Spc 71Ione, CA 95640-9428
Sole ProprietorYes
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
NPI 1902478662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3408 ANDOVER ST, Oakland, CA 94609

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.

Substance Abuse Rehabilitation Facility
3408 ANDOVER ST
OAKLAND, CA 94609
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
3408 ANDOVER ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Community Health Worker
3408 ANDOVER ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609

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 Annie Clark's NPI number?

The NPI number for Annie Clark is 1902478662. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Annie Clark located?

Annie Clark practices at 3408 Andover St, Oakland, CA 94609. The listed phone number is (510) 547-1531.

What is Annie Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Annie Clark was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.