Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL CLARK
ActiveRUSSELL CLARK is a Peer Specialist healthcare provider located in SAINT LOUIS, Missouri. NPI 1659111508 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1659111508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2024 (2.2228841758806 yrs)
- Last Updated
- May 29, 2024
Practice Information
- Address
-
3649 MERAMEC STSAINT LOUIS, MO, 631164411Browse MO providers · Browse ZIP 63116
- Phone
- 3149309384
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| ALICIA SUTTON | CPS | 1306198411 |
| CHERYL L CLERKLEY | FPS | 1376074716 |
| MS. JESSICA LUEDDE | FSP | 1265958441 |
| ANGELA RENEE KAYAR | CPS | 1104304823 |
| MS. VIOLANTA SHAMIJA | — | 1972085413 |
| CARL D. SUMMERS | — | 1396217394 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.