Search › California › 101YM0800X
Nicole Clark, LCSW
NPI 1467893032 · on the registry since 2013 · sole proprietor
Practice
- Address
- 31292 Alpine Meadows Rd
Shingletown, CA 96088 - Phone
- (530) 474-3390
- Fax
- (530) 474-1407
- Organisation at this address
- Shingletown Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 43423 Division St, Lancaster, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-21
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