ERIC DEON CLARK (NPI# 1679173710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679173710 |
| Entity Type | Individual |
| Full Name | ERIC DEON CLARK |
| Credential | SUDCC |
| Practice Address |
433 Turk St San Francisco CA 94102-3329 |
| Practice Telephone | 4159287800 |
| Practice Fax Number | 4159283710 |
| Mailing Telephone | 4159287800 |
| Mailing Fax Number | 4159283710 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9444 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917767 | Eric Clark | Dentist | 2597 Schoenersville Rd # A&301b, Bethlehem, PA 18017-7325 | 2019-05-13 |
| 1558429241 | Eric Walter Clark | Family Medicine | Mtsu Student Health, 1500 Greenland Ave Box 237, Murfreesboro, TN 37132-0001 | 2006-12-05 |
| 1780751453 | Eric M Clark | Chiropractor | 500 San Juan St, Trinidad, CO 81082-2517 | 2006-11-29 |
| 1013553494 | Eric Christopher Clark | Registered Nurse | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2019-11-21 |
| 1043777204 | Eric Clark | Social Worker | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2019-02-25 |
| 1740752260 | Eric Delancey Clark | Social Worker | 12 Southern Ave, Boston, MA 02124-2012 | 2018-12-21 |
| 1912496282 | Eric B Clark Jr. | Chiropractor | 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 | 2018-05-02 |
| 1508370610 | Eric Robert Clark | Social Worker | 1131 Broadway St, Buffalo, NY 14212-1501 | 2017-11-28 |
| 1588194583 | Eric Vinceson Clark Sr. | Counselor | 404 Hearne Ave, Shreveport, LA 71103-2022 | 2017-06-13 |
| 1295283430 | Eric Charles Clark | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2016-09-16 |
| Street Address |
433 TURK ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679593693 | Diana Amodia | Internal Medicine | 433 Turk St, San Francisco, CA 94102-3329 | 2006-07-20 |
| 1184241069 | Cassidy Michaela Van Trease | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2020-06-26 |
| 1538786512 | Savannah Rose | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2020-06-25 |
| 1447877428 | Tina Thach | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2020-06-25 |
| 1548887524 | Shamala Anne Carlson | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2020-06-25 |
| 1750943015 | Christine Ombrellaro Lowe | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2019-07-07 |
| 1801457148 | Katherine A Shea | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2019-06-26 |
| 1255992921 | Gabriela Sabater | Student in an Organized Health Care Education/Training Program | 433 Turk St, San Francisco, CA 94102-3329 | 2019-06-24 |
| 1255991873 | Madeline Mari Foster | Counselor | 433 Turk St, San Francisco, CA 94102-3329 | 2019-06-17 |
| 1154809242 | Alisa Indiana Reagan | Counselor | 433 Turk St, San Francisco, CA 94102-3329 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
Please comment or provide details below to improve the information on ERIC DEON CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.