Search › Michigan › 1041C0700X
Melissa Clark, LMSW, CAADC
NPI 1518236900 · on the registry since 2011
Practice
- Address
- 1131 Ionia Ave Nw
Grand Rapids, MI 49503 - Phone
- (616) 710-7729
- Clinicians at this address
- 50
Additional practice sites
- 100 Cherry St Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan