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

Miss. Keaujahne Kierra Champane Polk

Individual provider Clinical Social Worker · NPI 1376190033

Miss. Keaujahne Kierra Champane Polk is a Clinical Social Worker in Inglewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

10425 Crenshaw Blvd Apt 5
Inglewood, CA 90303-4462
Phone: (562) 607-5788
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117698 (CA)

Record details

NPI number1376190033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

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