What is Jacey Clark's NPI number?

Jacey Clark's National Provider Identifier (NPI) is 1730676701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacey Clark's specialty?

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

Where is Jacey Clark located?

Jacey Clark's practice location on file with NPPES is 720 14th Avenue, Longview, WA 98632.

What is Jacey Clark's phone number?

The practice phone number listed in the NPPES registry for Jacey Clark is (360) 353-9840.

Is Jacey Clark's NPI active?

Yes — Jacey Clark's NPI (1730676701) is active in the NPPES registry as of the last update on 2019-05-01.

IndividualActive

Jacey Clark, CDPT

NPI 1730676701 · Counselor · Longview, WA

Jacey Clark, CDPT is a Counselor provider in Longview, WA (NPI 1730676701).

Provider details

NPI number: 1730676701
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: CDPT
Sex: Male
Sole proprietor: No
License: 60823909 (WA)

Specialties & taxonomies

CounselorPrimary101Y00000XLicense 60823909 (WA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(68/100 index)

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

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% 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

720 14th Avenue

Longview, WA 98632

Phone: (360) 353-9840

Fax: (360) 353-9880

Street-level locationGet directions

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Mailing address

921 14th Avenue