Individual provider · Type 1 NPI

Michael Wayne Clark

Peer Specialist · Ironton, OH

NPI number 1205765351 Active

Practice location

2727 S 3rd St
Ironton, OH 45638-2760

Other practice locations

  • 604 4th St E, South Point, OH 45680-9113 · (740) 534-2100
  • 104 E Main St, Newark, OH 43055-5651 · (740) 534-2039

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

83 other providers at this address

Other peer specialist providers in Ironton

See all in Ironton →

About NPI 1205765351

Michael Wayne Clark's National Provider Identifier is 1205765351, issued on May 15, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ironton, OH. The record was last updated on Sep 22, 2026.