MR. BRANDON CLARK CSC-AD
NPI 1972054393
Counselor - Addiction (Substance Use Disorder) in Columbia, MD

Active since October 20, 2016
8930 STANFORD BLVD, SUITE M 100, COLUMBIA, MD 21045(443) 285-0807(443) 285-0527 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brandon Clark Csc-ad NPPES

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

MR. BRANDON CLARK CSC-AD (NPI 1972054393) is an individual addiction (substance use disorder) provider in Columbia, Maryland, licensed in Maryland (SC2296) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1972054393
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRANDON CLARKCredential: CSC-AD
Location Address8930 STANFORD BLVD, SUITE M 100Columbia, MD 21045-5805
Mailing Address8930 Stanford Blvd, Suite M 100Columbia, MD 21045-5805 · (443) 285-0807 · Fax (443) 285-0527
Fax(443) 285-0527
Sole ProprietorNo
Enumeration DateOctober 20, 2016
NPI 1972054393 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 MD · SC2296
8930 STANFORD BLVD, Columbia, MD 21045

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.

Pediatrics
8930 STANFORD BLVD
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD, SUITE M100
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD, M100
COLUMBIA, MD 21045
Licensed Practical Nurse
8930 STANFORD BLVD, M100
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD, M100
COLUMBIA, MD 21045

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 1972054393. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Brandon Clark located?

Brandon Clark practices at 8930 Stanford Blvd Suite M 100, Columbia, MD 21045. The listed phone number is (443) 285-0807.

What is Brandon 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 Brandon Clark was last updated on October 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.