Clack Associates, LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CLACK ASSOCIATES, LLC.

Doing business as

Clack Associates, LLC.

Practice address

603 Liberty Place
Sicklerville, NJ 08081

Phone

(856) 875-5335

NPI assigned

Oct 13, 2019

Last updated

Oct 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Liebold

Title

Manager

Phone

(856) 596-3196

Specialties & licenses 1

Addresses

Other names 1

• Clack Associates, LLC. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa R Buxton, LCSW

  • Clinical Social Worker
  • Sicklerville, NJ
  • NPI 1538711312
  NPD
• Angela Roman Clack, PSYD, LPC

  • Clinical Psychologist
  • Blackwood, NJ
  • NPI 1699935205

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1235771031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DAVISTOWN ROAD PO BOX 272",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080129998",
            "telephone_number": "856-875-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LIBERTY PLACE",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-875-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACK ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "LIEBOLD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-596-3196"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clack Associates, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylvia Chukwuocha
• Mark Church, PHARMD
• Kimberley Ann Ciarlante, RPH
• Nicholas Anthony Cipparone, PT
• Thelma Jean Citta-Pietrolungo, D.O.
• Lawrence Clark
• Melika Clarke
• Andrea Clary, LPN
• Barbara A Clary, RBT
• Gifty Yvonne Codjoe, PHARM D.

• Professional Counselor in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.