ERIC DEON CLARK


Address: 433 Turk St, San Francisco, CA 94102-3329
Phone: 4159287800

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).

Provider Overview

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

Taxonomy

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

Other Providers ERIC CLARK

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

Office Location

Street Address 433 TURK ST
City SAN FRANCISCO
State CA
Zip Code 94102-3329

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAN FRANCISCO
Zip Code 94102

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Dataset Information

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.

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