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.

  • Individual
  • Male
  • Community Health Worker

About CLARENCE WILSON

This page provides the complete NPI Profile along with additional information for Clarence Wilson, a provider established in San Rafael, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1447061569 assigned on January 2025. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1447061569 Verify this NPI
Provider Name
MR. CLARENCE WILSON
Gender
Male
Entity Type
Individual
Location Address
65 MITCHELL BLVD, SUITE 104 SAN RAFAEL, CA 94903
Location Phone
(413) 455-8481
Mailing Address
65 MITCHELL BLVD, SUITE 104 SAN RAFAEL, CA 94903
Mailing Phone
(413) 455-8481
Is Sole Proprietor?
Yes
Enumeration Date
01-17-2025
Last Update Date
02-05-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
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.

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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.