DESERIE ALINE CLACK-WILSON
NPI 1447869029
Community Health Worker in Bridgeport, CT
About Deserie Aline Clack-wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERIE ALINE CLACK-WILSON (NPI 1447869029) is an individual community health worker in Bridgeport, Connecticut and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
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 Deserie Clack-wilson's NPI number?
The NPI number for Deserie Clack-wilson is 1447869029. It was assigned to this individual provider in the NPPES registry on July 29, 2020.
Where is Deserie Clack-wilson located?
Deserie Clack-wilson practices at 1000 Lafayette Blvd Ste 1128, Bridgeport, CT 06604. The listed phone number is (203) 683-3428.
What is Deserie Clack-wilson's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Deserie Clack-wilson was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.