Clark, Scott Thomas

Clark, Scott Thomas is an sole proprietor health care provider with primary practice located at 900 Northcrest Dr # 251 , Crescent City CA 95531-2315. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clark, Scott Thomas can be contacted via phone (505) 537-5350.

Contact Information

Primary practice address
900 Northcrest Dr # 251 Crescent City CA 95531-2315
Phone: (505) 537-5350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC20665 California
Behavioral Health & Social Service Providers / Professional 101YP2500X CCMH0217051 New Mexico

Profile Details

NPI number 1487163002
LBN Legal business name Clark, Scott Thomas
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2017
Last updated Jan 9th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487163002 NPPES
New Mexico MEDICAID 04123751

Popular Providers