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Champagne Clark

Clinical Social Worker in West Sacramento, CA · enumerated 2018 · practices at Ole Health.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306323563

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Registry record

Entity type Individual (Type 1)
Name Champagne Clark
Sex Female
Practice address 500b Jefferson Blvd, West Sacramento, CA, 95605
Phone (916) 403-2990
Enumeration date Jul 20, 2018
Last updated in NPPES Dec 30, 2021

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 92250 (CA) Primary

Other identifiers

Identifier Type State Issuer
000603 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Champagne Clark?
Champagne Clark is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-30.