Sherrell Clark, is a
Community Health Worker based in Riverside, California. Sherrell Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
2085 Rustin Ave Ste 1, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 955-7320.
NPI number for Sherrell Clark is 1003366535 and her current mailing address is 883 Oleander St, Hemet, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003366535.
Healthcare Provider's Profile
Full Name | Sherrell Clark |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 2085 Rustin Ave Ste 1, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003366535
- Provider Enumeration Date: 10/07/2016
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Sherrell Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003366535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sherrell Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sherrell Clark, 883 Oleander St, Hemet, CA 92543-5876 Ph: (503) 754-2398 | Sherrell Clark, 2085 Rustin Ave Ste 1, Riverside, CA 92507-2498 Ph: (951) 955-7320 |
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