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ANDREA CLARK
NPI 1942969290
Rehabilitation Practitioner in Santa Rosa, CA

Active since December 14, 2021
341 IRWIN LN, SANTA ROSA, CA 95401(707) 360-1500 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Nov 2, 2023, Jun 1, 2023 and 1 more (4 updates tracked since 2021).

About Andrea Clark NPPES

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

ANDREA CLARK (NPI 1942969290) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1942969290
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameANDREA CLARK
Location Address341 IRWIN LNSanta Rosa, CA 95401-5603
Mailing Address341 Irwin LnSanta Rosa, CA 95401-5603
Phone(707) 360-1500
Sole ProprietorNo
Enumeration DateDecember 14, 2021
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1942969290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
341 IRWIN LN, Santa Rosa, CA 95401
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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.

MRS. ANGELA YOLANDA VAZQUEZ B.A., M.A.
Marriage & Family Therapist
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 494-6628
FELICIA REYNOLDS
Social Worker (Clinical)
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 360-1500
BETHANY BILYEU
Counselor (Mental Health)
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 576-7218
ALMIRA MOGUL
Counselor (Mental Health)
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 360-1500
RON E. SHAW
Counselor
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 576-7218
MS. BRITTANY MARIE KESLER LCSW
Social Worker
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 360-1500
KAYLA WOLMARANS
Social Worker (Clinical)
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 526-7218
JORDYN REEGER
Social Worker
341 IRWIN LN
SANTA ROSA, CA 95401
Sonoma County (707) 360-1500

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 Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1942969290. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Andrea Clark located?

Andrea Clark practices at 341 Irwin Ln, Santa Rosa, CA 95401. The listed phone number is (707) 360-1500.

What is Andrea Clark's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Andrea Clark was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.