Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derwin Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508231085

Derwin Clark is an Addiction (Substance Use Disorder) Counselor in Pine Bluff, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015

Practice location Address checks out

1301 Ridgway Rd Ste 1C
Pine Bluff, AR 71603-7610
Phone: (870) 395-7341
Fax: (870) 395-7377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1354 (AR)

Record details

NPI number1508231085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2015
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address1301 Ridgway Rd Ste 1c, Pine Bluff, AR 71603-7610

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