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

Leacha M Clark, ASW

Individual provider Clinical Social Worker · NPI 1366187676

Leacha M Clark, ASW is a Clinical Social Worker in Ione, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4001 CA-104
Ione, CA 95640
Phone: (209) 274-4911
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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 131925 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 106588 (CA)

Record details

NPI number1366187676
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ione