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Broderick Pierre Clark, MASTER IN SOCIAL WOR

Addiction (Substance Use Disorder) Counselor in Colorado Springs, CO · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659911402

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Registry record

Entity type Individual (Type 1)
Name Broderick Pierre Clark
Credential MASTER IN SOCIAL WOR
Sex Male
Practice address 2565 Airport Rd, Colorado Springs, CO, 80910
Phone (719) 632-3510
Fax (719) 632-3534
Enumeration date Jan 9, 2020
Last updated in NPPES Jan 9, 2020

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Broderick Clark?
The National Provider Identifier (NPI) for Broderick Clark is 1659911402, a Type 1 (individual) record in the CMS NPPES registry.
Where does Broderick Clark practice?
The practice location on file with NPPES is in Colorado Springs, CO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-09.