Active NPI
Joy Clarke
- Social Worker
- Big Bear Lake, CA
National Provider Identifier
1639717911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW130984
- Practice address
- 41945 Big Bear Blvd # 222
Big Bear Lake, CA 92315-2030 - Phone
- (909) 866-5070
- NPI assigned
- Dec 17, 2019
- 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 | ASW130984 | CA | Primary |
Addresses
Primary practice location
41945 Big Bear Blvd # 222
Big Bear Lake, CA 92315-2030
Mailing address
PO Box 402303
Hesperia, CA 92340-2303
Phone (760) 983-8477
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 |
|---|---|---|---|
| ASW130984 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Methadone Clinic
- Hesperia, CA
- NPI 1215373055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1639717911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402303",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923402303",
"telephone_number": "760-983-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD # 222",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923152030",
"telephone_number": "909-866-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW130984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.