Jolie Clark, LCSW
NPI 1710563549ActiveIndividual· Counselor· Oakland, CA
Counselor (LCSW) with Permanente Medical Group Inc, practicing in Oakland, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1710563549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Mar 22, 2021 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 100176 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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