Active NPI
Delaney Jo Clark
- Social Worker
- Kennewick, WA
National Provider Identifier
1083409874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61659810
- Practice address
- 1030 N Center Pkwy Ste 319
Kennewick, WA 99336-7160 - Phone
- (509) 404-0183
- NPI assigned
- Apr 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC61659810 | WA | Primary |
Addresses
Primary practice location
1030 N Center Pkwy Ste 319
Kennewick, WA 99336-7160
Mailing address
11704 E Ruppert Rd
Benton City, WA 99320-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61659810 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1083409874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11704 E RUPPERT RD",
"city": "BENTON CITY",
"state": "WA",
"postal_code": "993208884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 319",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-404-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DELANEY",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61659810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.