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

Wayne E Clark, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396209136

Wayne E Clark, CASAC is an Addiction (Substance Use Disorder) Counselor in Bronx, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

820 Saint Anns Ave
Bronx, NY 10456-7885
Phone: (646) 316-3265
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 23387 (NY)

Record details

NPI number1396209136
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorNo
NPI enumeratedJanuary 25, 2019
Last updated in NPPESJanuary 25, 2019

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