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

Individual provider Social Worker · NPI 1609525039

Clark Cunningham-White is a Clinical Social Worker in Holland, Michigan. Qualified in 2022, 4 years ago. Practices with County of Ottawa, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

12265 James St
Holland, MI 49424-8613
Phone: (616) 392-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1609525039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address12265 James St, Holland, MI 49424-8613

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice County Of Ottawa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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