Search › California › 1041C0700X
Leacha Clark, ASW
NPI 1366187676 · on the registry since 2022
Practice
- Address
- 4001 Ca-104
Ione, CA 95640 - Phone
- (209) 274-4911
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California