KELLY ANNE CLARKE MSW NPI 1043835457

NPI Information

  • NPI: 1043835457
  • Provider Name: KELLY ANNE CLARKE, MSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: AMERICAN TREATMENT NETWORK PHYSICIAN & ASSOCIATES
    1120 TOWNSHIP LINE ROAD
    HAVERTOWN, PA
    ZIP 19083
  • Phone: (484) 535-1231

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NPI Details

Kelly Anne Clarke, MSW is an addiction (substance use disorder) counselor in Havertown, PA. Kelly Anne Clarke, MSW NPI is 1043835457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

AMERICAN TREATMENT NETWORK PHYSICIAN & ASSOCIATES
1120 TOWNSHIP LINE ROAD
HAVERTOWN, PA
ZIP 19083
Phone: (484) 535-1231

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275189375MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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