Individual provider · Type 1 NPI

Champagne Clark

Clinical Social Worker · West Sacramento, CA

NPI number 1306323563 Active

Practice location

500B Jefferson Blvd
West Sacramento, CA 95605-2349

Call (916) 403-2990 Map

Mailing address

155 Lily Bay Cir
Sacramento, CA 95834-7764

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X92250 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306323563

Champagne Clark's National Provider Identifier is 1306323563, issued on Jul 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Sacramento, CA. The record was last updated on Dec 30, 2021.