Broderick Clark, MASTER IN SOCIAL WOR
NPI 1659911402 · Addiction (Substance Use Disorder) Counselor · Colorado Springs, CO
Broderick Clark, MASTER IN SOCIAL WOR is a Addiction (Substance Use Disorder) Counselor provider in Colorado Springs, CO (NPI 1659911402).
Provider details
- NPI number
- 1659911402
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MASTER IN SOCIAL WOR
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Frequently asked questions
- What is Broderick Clark's NPI number?
- Broderick Clark's National Provider Identifier (NPI) is 1659911402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Broderick Clark's specialty?
- Broderick Clark is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Broderick Clark located?
- Broderick Clark's practice location on file with NPPES is 2565 Airport Rd, Colorado Springs, CO 80910-3119.
- What is Broderick Clark's phone number?
- The practice phone number listed in the NPPES registry for Broderick Clark is (719) 632-3510.
- Is Broderick Clark's NPI active?
- Yes — Broderick Clark's NPI (1659911402) is active in the NPPES registry as of the last update on 2020-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.