Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEMETRIA CHARNEICE MCCLUSKY
NPI 1669304713
Licensed Vocational Nurse in Roseville, CA

Active since June 02, 2026
1085 SANDRINGHAM WAY, ROSEVILLE, CA 95661(916) 642-7800(888) 870-9642 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetria Charneice Mcclusky NPPES

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

DEMETRIA CHARNEICE MCCLUSKY (NPI 1669304713) is an individual licensed vocational nurse in Roseville, California, licensed in California (VN759812) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1669304713
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameDEMETRIA CHARNEICE MCCLUSKY
Location Address1085 SANDRINGHAM WAYRoseville, CA 95661-5321
Mailing Address7697 Beth StSacramento, CA 95832-1229 · (916) 642-7800 · Fax (888) 870-9642
Fax(888) 870-9642
Sole ProprietorNo
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1669304713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · VN759812
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1085 SANDRINGHAM WAY, Roseville, CA 95661

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.

Community Health Worker
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Day Training/Habilitation Specialist
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Day Training/Habilitation Specialist
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Licensed Vocational Nurse
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Day Training/Habilitation Specialist
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Counselor (Mental Health)
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Day Training/Habilitation Specialist
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661
Day Training/Habilitation Specialist
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661

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 Demetria Mcclusky's NPI number?

The NPI number for Demetria Mcclusky is 1669304713. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Demetria Mcclusky located?

Demetria Mcclusky practices at 1085 Sandringham Way, Roseville, CA 95661. The listed phone number is (916) 642-7800.

What is Demetria Mcclusky's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Demetria Mcclusky was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.