VICKI LYNE CLARK (M.ED.) – Counselor, NPI 1184790859

VICKI LYNE CLARK (M.ED.) is a healthcare provider. based in Chardon, Ohio. specializing in Counselor. They hold the professional credentials M.ED.. They hold a License No. E 0002811 (OH). The NPI Number for VICKI LYNE CLARK (M.ED.) is 1184790859

Main info

Female
Name
VICKI LYNE CLARK (M.ED.)
NPI
1184790859
Phone
(440) 285-3568
Address
12557 RAVENWOOD DR
Enumeration Date
27 November 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for VICKI LYNE CLARK (M.ED.)

  • Ravenwood Mental Health Center, 12557, Ravenwood Drive, Chardon, Claridon Township, Geauga County, Ohio, 44024, United States

    CHARDON, OH 440249009

    Phone: (440) 285-3568

    Fax: (440) 285-4552

    Type: Location

  • 7068, Constantine Court, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440605124

    Phone: (440) 942-6135

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44024)

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Reviews

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Frequently asked questions

How do payers reference VICKI LYNE CLARK (M.ED.)?
For VICKI LYNE CLARK (M.ED.), use NPI 1184790859 as the unique 10-digit identifier.
Is there an active status for VICKI LYNE CLARK (M.ED.)?
For scheduling context, VICKI LYNE CLARK (M.ED.) is shown as active in the registry.
What clinical focus is listed for VICKI LYNE CLARK (M.ED.)?
At a glance, VICKI LYNE CLARK (M.ED.) is tied to Counselor. Clinical services aligned with this taxonomy classification.
Where in Ohio is VICKI LYNE CLARK (M.ED.) registered?
Use Chardon, Ohio as the headline location for VICKI LYNE CLARK (M.ED.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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