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

Marvin Clark, CCHW

Individual provider Community Health Worker · NPI 1932992039

Marvin Clark, CCHW is a Community Health Worker in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

12841 E McNichols Rd
Detroit, MI 48205-3343
Phone: (313) 701-8314
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 142899725 (MI)

Record details

NPI number1932992039
Entity typeIndividual (Type 1)
GenderMale
Credentials CCHW
Sole proprietorYes
NPI enumeratedMay 22, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

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