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

Kacy Clark

Individual provider Community Health Worker · NPI 1255178927

Kacy Clark is a Community Health Worker in Santa Cruz, California. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

1201 Shaffer Rd Bldg 1 Ste A
Santa Cruz, CA 95060
Phone: (831) 420-0120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1255178927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

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