What is Wallace Clark's NPI number?

Wallace Clark's National Provider Identifier (NPI) is 1942667944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wallace Clark's specialty?

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

Where is Wallace Clark located?

Wallace Clark's practice location on file with NPPES is 6 Concordia Dr, Haverhill, MA 01830-2062.

What is Wallace Clark's phone number?

The practice phone number listed in the NPPES registry for Wallace Clark is (978) 373-3086.

Is Wallace Clark's NPI active?

Yes — Wallace Clark's NPI (1942667944) is active in the NPPES registry as of the last update on 2016-01-21.

IndividualActive

Wallace Clark, THERAPEUTIC MENTOR

NPI 1942667944 · Social Worker · Haverhill, MA

Wallace Clark, THERAPEUTIC MENTOR is a Social Worker provider in Haverhill, MA (NPI 1942667944).

Provider details

NPI number: 1942667944
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: THERAPEUTIC MENTOR
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(66/100 index)

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

Registry tenure38% of score
10 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

6 Concordia Dr

Haverhill, MA 01830-2062

Phone: (978) 373-3086

Fax: (978) 469-0486

Street-level locationGet directions

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Mailing address