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

Mitchell Clark

Individual provider Mental Health Counselor · NPI 1205307204

Mitchell Clark is a Mental Health Counselor in San Francisco, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
5

Practice location Address checks out

921 Lincoln Way
San Francisco, CA 94122-2210
Phone: (415) 664-1414
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1205307204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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