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

Deserie Aline Clack-Wilson

Individual provider Community Health Worker · NPI 1447869029

Deserie Aline Clack-Wilson is a Community Health Worker in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Lafayette Blvd Ste 1128
Bridgeport, CT 06604-4725
Phone: (203) 683-3428
Fax: (203) 683-5901
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CT)

Record details

NPI number1447869029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2020
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

Other providers in Bridgeport