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Champagne Clark
Clinical Social Worker in West Sacramento, California
NPI 1306323563

Champagne Clark is a Clinical Social Worker based in Sacramento, CA and is specialized in Clinical. Champagne Clark practices in West Sacramento, CA. The NPI Number for Champagne Clark is 1306323563 and holds a License No. (California).

The current practice location address for Champagne Clark is 500B Jefferson Blvd, West Sacramento, CA and can be reached out via phone at 916-403-2990.

Location: 500B Jefferson Blvd, West Sacramento, CA, 95834-7764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306323563
Provider Name
Champagne Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
500B Jefferson Blvd, West Sacramento, CA, 95834-7764
Phone Number
916-403-2990
Fax Number
Provider Enumeration Date
07/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000603 05 CA
institution
Provider Business Practice Location Address Details
Address
500B Jefferson Blvd
City
West Sacramento
State
California
Zip
95605-2349
Phone Number
916-403-2990
Fax Number
person
Provider Business Mailing Address Details
Address
500B Jefferson Blvd
City
West Sacramento
State
California
Zip
95605-2349
Phone Number
916-403-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
92250 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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