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Tanya Marie Clark, J.D.

NPI 1023342862ActiveIndividual· Contractor· Southfield, MI

Contractor (J.D.) in Southfield, Michigan, with an NPI issued in September 2009.

Overview

NPI1023342862
StatusActive
Entity typeIndividual
CredentialJ.D.
Sole proprietorNo
NPI issuedSep 27, 2009
Last updated in NPPESSep 27, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X——
Community Health Worker172V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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