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MASON CLARK
NPI 1619518768
Case Manager/Care Coordinator in Eureka, CA

Active since September 30, 2019
3960 WALNUT DR, EUREKA, CA 95503(707) 268-0218 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 13, 2021, Sep 30, 2019 (2 updates tracked since 2019).

About Mason Clark NPPES

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

MASON CLARK (NPI 1619518768) is an individual case manager/care coordinator provider in Eureka, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1619518768
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMASON CLARK
Location Address3960 WALNUT DREureka, CA 95503-8938
Mailing Address3960 Walnut DrEureka, CA 95503-8938
Phone(707) 268-0218
Sole ProprietorNo
Enumeration DateSeptember 30, 2019
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1619518768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3960 WALNUT DR, Eureka, CA 95503
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Other Providers at the Same Location NPPES 20

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

CHISANA WHITE
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
CONNER NORWOOD
Community Health Worker
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
BRITTNEY HOSLEY
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
MAIXEE YANG R.S.
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
ASHLEY WARREN
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
KARYN CLARK
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
RACHEL WESTLAKE BA
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722
RYLIE GRIGSBY
Case Manager/Care Coordinator
3960 WALNUT DR
EUREKA, CA 95503
Humboldt County (707) 268-8722

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 Mason Clark's NPI number?

The NPI number for Mason Clark is 1619518768. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Mason Clark located?

Mason Clark practices at 3960 Walnut Dr, Eureka, CA 95503. The listed phone number is (707) 268-0218.

What is Mason Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mason Clark was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.