Sheila Clark

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

011031 Issued in OH

Legal business name

SHEILA CLARK

Practice address

267 W Center St Apt 602
Marion, OH 43302-3679

Phone

(419) 722-8932

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Sheila Marie Clark, LCDC III

Title

Chemical Dependency Counselor

Phone

(419) 722-8932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1548701956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W CENTER ST APT 602",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023679",
            "telephone_number": "419-722-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W CENTER ST APT 602",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023679",
            "telephone_number": "419-722-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "419-722-8932",
        "authorized_official_credential": "LCDC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "011031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiten G Shah, M.D.
• Mayank Kantilal Shah, M.D.
• Niranjan T Shah, MD
• Tabinda Jabeen Shah, OD
• Roy Shapiro, PHD
• Deborah Kay Shenefield, RN
• Dusty Shepherd
• Abdulmagid Sherif, MD
• Mark Shoe
• Jaime Malinda Shroyer

• Community/Behavioral Health Agency in Marion, OH
• Providers in Marion, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.