Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Champagne Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306323563

Champagne Clark is a Student in an Organized Health Care Education/Training Program in West Sacramento, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

500B Jefferson Blvd
West Sacramento, CA 95605-2349
Phone: (916) 403-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 92250 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306323563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESDecember 30, 2021
Mailing address155 Lily Bay Cir, Sacramento, CA 95834-7764

Other providers in West Sacramento