Champagne Clark
Clinical Social Worker · West Sacramento, CA
Champagne Clark is a clinical social worker with a practice address in West Sacramento, California, and NPI 1306323563, issued on Jul 20, 2018. Check the license (California 92250, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Champagne Clark
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 92250 CA
Self-reported in NPPES; status is on the state search - Practice location
- 500B Jefferson Blvd, West Sacramento, CA 95605
- Phone
- (916) 403-2990
- Enumerated
- Jul 20, 2018
- Record last updated
- Dec 30, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- 000603 CA
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 36,261 in California → Look up another NPI →
Also registered at 500B Jefferson Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nicholas Cornes, MDPsychiatry Physician1811046865
- Laurie Gates, PEER SUPPORT WORKERPeer Specialist1639929854
- Samantha MeroMental Health Counselor1154890440
- Jessica MolinaStudent in an Organized Health Care Education/Training Program1467838565
Verify Champagne Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 92250Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Champagne Clark among 36,261 clinical social worker records in California
Champagne Clark is one of 36,261 clinical social worker records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2018, is newer than 62% of them.
- NPI issued2018 · 62% of these records are older, 33% newer
- In a Medicare fileNo · 6% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2021 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
29 clinical social worker records list a practice address in West Sacramento
They are 29 of the 655 NPPES records with a practice address in West Sacramento, and 36,261 clinical social worker records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 36,261 in California → Every provider in West Sacramento → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Stephanie AguilarWest Sacramento, CA 956051386148062
- Jennifer AntonioWest Sacramento, CA 956051861742413
- Juan Carmona, LCSWWest Sacramento, CA 956051053693267
- Jolene Ford, LCSWWest Sacramento, CA 956051568796605
- Lorna KhooWest Sacramento, CA 956051548755564
- Janneth Liborio-Lulo, LCSWWest Sacramento, CA 956051366086472
- Tina LilliedollWest Sacramento, CA 956051518177443
- Rachel Marine, LCSWWest Sacramento, CA 956051619556883
Common questions
What is Champagne Clark's NPI number?
Champagne Clark's National Provider Identifier (NPI) is 1306323563, issued on Jul 20, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Champagne Clark located?
The NPPES record lists a practice address at 500B Jefferson Blvd, West Sacramento, CA, 95605. Phone: (916) 403-2990. Providers update this record themselves, so call before visiting.
How can I verify Champagne Clark's license?
NPPES lists California license number 92250, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.