Kaeli Ann Clark, CDP - Counselor in Bellevue, WA

Kaeli Ann Clark, CDP is a Counselor - Addiction (substance Use Disorder) based in Bellevue, Washington. Kaeli Ann Clark is licensed to practice in Washington (license number 60295090) and her current practice location is 2025 112th Ave Ne Ste 101, Bellevue, Washington. She can be reached at her office (for appointments etc.) via phone at (425) 462-8558.

NPI number for Kaeli Ann Clark is 1427397124 and her current mailing address is 18015 Ne 159th St, Woodinville, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427397124.

Contact Information

Kaeli Ann Clark, CDP
2025 112th Ave Ne Ste 101,
Bellevue, WA 98004-2943
(425) 462-8558
(425) 462-8556

Map and Direction


Healthcare Provider's Profile

Full NameKaeli Ann Clark
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2025 112th Ave Ne Ste 101, Bellevue, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427397124
  • Provider Enumeration Date: 01/31/2013
  • Last Update Date: 01/31/2013

Medical Identifiers

Medical identifiers for Kaeli Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427397124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 60295090 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaeli Ann Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaeli Ann Clark, CDP
18015 Ne 159th St,
Woodinville, WA 98072-6130

Ph: (206) 419-9168
Kaeli Ann Clark, CDP
2025 112th Ave Ne Ste 101,
Bellevue, WA 98004-2943

Ph: (425) 462-8558

Reviews and Comments


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