What is Connie Clark's NPI number?

Connie Clark's National Provider Identifier (NPI) is 1528489002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Connie Clark's specialty?

Connie Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Connie Clark located?

Connie Clark's practice location on file with NPPES is 620 Wellhouse Dr, Jacksonville, FL 32220-1367.

What is Connie Clark's phone number?

The practice phone number listed in the NPPES registry for Connie Clark is (904) 222-1784.

Is Connie Clark's NPI active?

Yes — Connie Clark's NPI (1528489002) is active in the NPPES registry as of the last update on 2013-12-30.

IndividualActive

Connie Clark

NPI 1528489002 · Mental Health Counselor · Jacksonville, FL

Connie Clark is a Mental Health Counselor provider in Jacksonville, FL (NPI 1528489002).

Provider details

NPI number: 1528489002
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

620 Wellhouse Dr

Jacksonville, FL 32220-1367

Phone: (904) 222-1784

Fax: (904) 253-3001

Street-level locationGet directions

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Mailing address