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CHANIYA CLARK LLBSW
NPI 1396579801
Social Worker in Grandville, MI

Active since August 27, 2024
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 797-2124 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chaniya Clark Llbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANIYA CLARK LLBSW (NPI 1396579801) is an individual social worker in Grandville, Michigan, licensed in Michigan (6852093714) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1396579801
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHANIYA CLARKCredential: LLBSW
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address148 Lafayette Ave Ne Unit 5Grand Rapids, MI 49503-5600
Phone(616) 797-2124
Sole ProprietorNo
Enumeration DateAugust 27, 2024
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1396579801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6852093714
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANNE BROCKMAN APRN-CNP
Family Medicine (Addiction Medicine)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. JENNIFER BALANGUE BARNETT
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
REYNA BECKER RABAGO MS
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaniya Clark's NPI number?

The NPI number for Chaniya Clark is 1396579801. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Chaniya Clark located?

Chaniya Clark practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 797-2124.

What is Chaniya Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Chaniya Clark was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.