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WALLACE CLARK IV THERAPEUTIC MENTOR
NPI 1942667944
Social Worker in Haverhill, MA

Active since January 21, 2016
6 CONCORDIA DR, HAVERHILL, MA 01830(978) 373-3086(978) 469-0486 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Clark Iv Therapeutic Mentor NPPES

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

WALLACE CLARK IV THERAPEUTIC MENTOR (NPI 1942667944) is an individual social worker in Haverhill, Massachusetts and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1942667944
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameWALLACE CLARK IVCredential: THERAPEUTIC MENTOR
Location Address6 CONCORDIA DRHaverhill, MA 01830-2062
Mailing Address6 Concordia DrHaverhill, MA 01830-2062 · (978) 373-3086 · Fax (978) 469-0486
Phone(978) 373-3086
Fax(978) 469-0486
Sole ProprietorNo
Enumeration DateJanuary 21, 2016
✔ NPI 1942667944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6 CONCORDIA DR, Haverhill, MA 01830
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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.

COURTNEY KEFFER-FRIES THERAPEUTIC MENTOR
Social Worker
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086
MS. MAUREEN TRAINOR MCMAHON MA
Counselor (Mental Health)
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086
JOY TRAVIS THERAPEUTIC MENTOR
Social Worker
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086
LYNNE MARIE CARLSON LICSW
Social Worker (Clinical)
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 518-2942
ANYTZA DELGADO THERAPEUTIC MENTOR
Social Worker
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086
HEATHER FULLER THERAPEUTICMENTORING
Social Worker
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086
RENEE TRUDELL M.S.
Counselor (Mental Health)
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 778-6026
WHITTNEY O'MEGAN TAVERAS THERAPEUTIC MENTOR
Social Worker
6 CONCORDIA DR
HAVERHILL, MA 01830
Essex County (978) 373-3086

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 Wallace Clark's NPI number?

The NPI number for Wallace Clark is 1942667944. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Wallace Clark located?

Wallace Clark practices at 6 Concordia Dr, Haverhill, MA 01830. The listed phone number is (978) 373-3086.

What is Wallace Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Wallace Clark was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.