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

Tanisha Lejon Clark

Individual provider Mental Health Counselor · NPI 1952691859

Tanisha Lejon Clark is a Clinical Social Worker in Inglewood, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Louisiana.

Years since qualifying
5
Licensed in
CA, LA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

215 E Regent St Apt 214
Inglewood, CA 90301-1822
Phone: (323) 898-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 119574 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11240 (LA)

Record details

NPI number1952691859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2011
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025
Mailing address5616 Arch Crest Dr, Los Angeles, CA 90043-2043

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 Yes — accepts the Medicare-approved amount

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