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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHAMPAGNE CLARK

Active

CHAMPAGNE CLARK is a Clinical Social Worker healthcare provider located in WEST SACRAMENTO, California. NPI 1306323563 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WEST SACRAMENTO, CA

Registration Details

NPI Number
1306323563
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2018 (7.9249107715235 yrs)
Last Updated
Dec 30, 2021
License
92250 (CA)

Practice Information

Address
500B JEFFERSON BLVD
WEST SACRAMENTO, CA, 956052349
Browse CA providers · Browse ZIP 95605
Phone
9164032990
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in WEST SACRAMENTO, CA

Name Credential NPI
MS. BARBARA GAYE BROWN LCSW 1851400089
TINA LILLIEDOLL 1518177443
DENISE I. TILLERY LCSW 1205085263
MRS. KATHERINE MARY SOLTERO LCSW 1245476555
JOLENE RAE FORD LCSW 1568796605
MR. ERIC LUIS SALAZAR MSW II 1124308655
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.