KELLY MARIE CLARK (AAC) – Peer Specialist, NPI 1477897916

KELLY MARIE CLARK (AAC) is a healthcare provider. based in Mount vernon, Washington. specializing in Peer Specialist. They hold the professional credentials AAC. They hold a License No. 1477897916 (WA). The NPI Number for KELLY MARIE CLARK (AAC) is 1477897916

Main info

Female
Name
KELLY MARIE CLARK (AAC)
NPI
1477897916
Phone
(360) 419-3500
Address
1100 S 2nd St
Enumeration Date
22 November 2012
Last Update Date
17 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KELLY MARIE CLARK (AAC)

  • 1100 S 2nd St

    Mount Vernon, WA 982734209

    Phone: (360) 419-3500

    Type: Location

  • 1100 S 2ND ST

    MOUNT VERNON, WA 982734209

    Phone: (360) 419-3500

    Type: Mailing

  • 811 MADISON ST

    EVERETT, WA 982034543

    Phone: (425) 212-4200

    Fax: (425) 212-4201

    Type: Location

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

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 98273)

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Reviews

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Frequently asked questions

Can I cross-check KELLY MARIE CLARK (AAC) using NPI 1477897916?
NPI 1477897916 belongs to KELLY MARIE CLARK (AAC); compare other details if you need extra assurance.
Is there an active status for KELLY MARIE CLARK (AAC)?
For scheduling context, KELLY MARIE CLARK (AAC) is shown as active in the registry.
How would a patient describe KELLY MARIE CLARK (AAC)'s focus?
For KELLY MARIE CLARK (AAC), the primary taxonomy reads as Peer Specialist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY MARIE CLARK (AAC)?
Travel planning: use Mount Vernon, Washington as the reference point for KELLY MARIE CLARK (AAC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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