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

James William Clark

Individual provider Clinical Social Worker · NPI 1093225153

James William Clark is a Clinical Social Worker in Santa Fe Springs, California. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601
Phone: (562) 906-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1093225153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESMay 7, 2024
Certification dateNovember 2, 2023
Mailing address11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Fe Springs