Tanisha Lejon Clark
NPI 1952691859ActiveIndividual· Counselor, Mental Health· Inglewood, CA
Counselor, Mental Health in Inglewood, California, licensed in CA and LA, with an NPI issued in April 2011. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1952691859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2011 |
| Last updated in NPPES | Dec 6, 2025 |
| Certified by provider | Dec 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 119574 | CA |
| Social Worker, Clinical | 1041C0700X | 11240 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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