Susan M Clark
Peer Specialist • Warrenton, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Susan Clark was a registered Peer Specialist practicing in Warrenton, OR. Throughout an active medical career spanning 8 years, Susan Clark provided care at the practice location at 326 SE MARLIN AVE until profile deactivation on 2024-09-18.
Practice Location & Contact Primary Location
326 Se Marlin Ave
Warrenton, OR 971469624
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Warrenton, OR
Practicing in Warrenton, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Psychiatric/Mental Health, Adult
Registered Nurse
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Counselor - Addiction (Substance Use Disorder)
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 18, 2024
NPI status registered as active in NPPES database
Registered at 326 SE MARLIN AVE, WARRENTON, OR 971469624 (Tel: 5033255722)
Registered at 65 N HIGHWAY 101 STE 204, WARRENTON, OR 971469371 (Tel: 5033255722)
Recorded as SUSAN CLARK
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
65 N Highway 101 Ste 204
Warrenton, OR 971469371
Phone: 5033255722
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