MR. CLARENCE WILSON
NPI 1447061569
Community Health Worker in San Rafael, CA

Active since January 17, 2025
65 MITCHELL BLVD, SUITE 104, SAN RAFAEL, CA 94903(413) 455-8481 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Clarence Wilson NPPES

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

MR. CLARENCE WILSON (NPI 1447061569) is an individual community health worker in San Rafael, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1447061569
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameMR. CLARENCE WILSON
Location Address65 MITCHELL BLVD, SUITE 104San Rafael, CA 94903
Mailing Address65 Mitchell Blvd, Suite 104San Rafael, CA 94903 · (413) 455-8481
Sole ProprietorYes
Enumeration DateJanuary 17, 2025
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1447061569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

65 MITCHELL BLVD, SUITE 104, San Rafael, CA 94903

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Health Worker
65 MITCHELL BLVD, SUITE 104
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447061569, enumerated as an "individual" on January 17, 2025.

The provider is located at 65 MITCHELL BLVD, SUITE 104 SAN RAFAEL, CA 94903 and the phone number is (413) 455-8481.

Community Health Worker with taxonomy code 172V00000X.