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

Champagne Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306323563

Champagne Clark is a Student in an Organized Health Care Education/Training Program in West Sacramento, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

West Sacramento, CA

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 92250 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306323563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESDecember 30, 2021

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