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RENE THERESA CLARK
NPI 1922859313
Counselor - Addiction (Substance Use Disorder) in Mattapan, MA

Active since April 01, 2024
255 RIVER ST, MATTAPAN, MA 02126(617) 981-9244 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rene Theresa Clark NPPES

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

RENE THERESA CLARK (NPI 1922859313) is an individual addiction (substance use disorder) provider in Mattapan, Massachusetts, licensed in Massachusetts (187893081) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1922859313
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRENE THERESA CLARK
Location Address255 RIVER STMattapan, MA 02126-2729
Mailing Address75 N Beacon StWatertown, MA 02472-2671 · (617) 661-3991
Phone(617) 981-9244
Sole ProprietorYes
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1922859313 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
License✔ Licensed in MA · 187893081
255 RIVER ST, Mattapan, MA 02126
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Other Providers at the Same Location NPPES 12

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

RACHEL MARIE WALSH
Student in an Organized Health Care Education/Training Program
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 414-2577
EMILY D BARNES
Student in an Organized Health Care Education/Training Program
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (214) 773-2460
MISS MICHELLE SHUELIAN ZHOU
Counselor (Mental Health)
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 414-0502
REGINA ROBERG M.S.
Psychologist (Clinical Child & Adolescent)
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (847) 682-4545
JENNIFER QUINTANA
Case Manager/Care Coordinator
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (781) 974-7787
BOSTON MEDICAL CENTER/SPARK CENTER
Early Intervention Provider Agency
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-2050
BOSTON MEDICAL CENTER/SPARK CENTER
General Acute Care Hospital
255 RIVER ST
MATTAPAN, MA 02126
Suffolk County (617) 534-2050
MARGARET PAUL
Counselor (Addiction (Substance Use Disorder))
255 RIVER ST
BOSTON, MA 02126
Suffolk County (781) 710-1923

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 Rene Clark's NPI number?

The NPI number for Rene Clark is 1922859313. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Rene Clark located?

Rene Clark practices at 255 River St, Mattapan, MA 02126. The listed phone number is (617) 981-9244.

What is Rene 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 Rene Clark was last updated on April 1, 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.