SHEREESE CLARK SAC-IT
NPI 1194026013
Counselor - Addiction (Substance Use Disorder) in Waukesha, WI

NPI Status: Active since November 09, 2010

Contact Information

2422 N GRANDVIEW BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 549-6600
Fax: (262) 549-6600

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About SHEREESE CLARK

This page provides the complete NPI Profile along with additional information for Shereese Clark, a provider established in Waukesha, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1194026013 assigned on November 2010. The practitioner's primary taxonomy code is 101YA0400X with license number 16003-130 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1194026013
Provider Name
SHEREESE CLARK SAC-IT
Gender
Female
Entity Type
Individual
Location Address
2422 N GRANDVIEW BLVD WAUKESHA, WI 53188
Location Phone
(262) 549-6600
Location Fax
(262) 549-6600
Mailing Address
1610 MILLER PARK WAY MILWAUKEE, WI 53214
Mailing Phone
(262) 549-6600
Mailing Fax
(262) 549-6600
Is Sole Proprietor?
No
Enumeration Date
11-09-2010
Last Update Date
11-09-2010
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A Substance Abuse or Addiction Counselor like Shereese Clark advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
16003-130
License State
WI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194026013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184021202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 2 + 1 + 2 + 0 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1194026013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043481294 MARI CAMILLA HANG CSAC
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1922273010 JAYME C VALENTINE LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1609042019 ROXANNE LYNN OLSON CSAC
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1659538676 MICHELLE M MEMEDOVSKA LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1093966129MISS BRENDA HOPSON AODA COUNSELOR
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1831340967MR. MICHAEL B SMITH LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1154575173MRS. CHRISTINE L ELMER RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1326286147 JENNIFER A DIETRICH SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1346488137MRS. CHRISTINE CASH CSAC
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1699915140MRS. JEAN M LENNON CSAC
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1922241280 AMY E RADATZ RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1932343712 TINA M BUTZINE
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1356573042 DAWN MARIE FAZIO JOHNSON LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1861624553 STACI MICHELLE OLSON LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1770810616 DAWN PETERSON LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1275861270 RONALD S HYLTON SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1740506526 SARAH ELIZABETH NEERDAELS SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1689994261 TINA MARIE KELLER LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1689985111 AMANDA J GILMORE LPN
Individual
Licensed Practical Nurse2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
(262) 549-6600
1932411014HANABI INC.
Organization
In Home Supportive Care2422 N GRANDVIEW BLVD SUITE 202
WAUKESHA, WI 53188
(262) 542-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194026013, enumerated in the NPI registry as an "individual" on November 09, 2010

The provider is located at 2422 N Grandview Blvd Waukesha, Wi 53188 and the phone number is (262) 549-6600

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

This NPI record was last updated on November 09, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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