Sabrina Paige Clark
Individual provider Active NPI Community Health Worker · Wasila, AK
NPI 1780242453 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1780242453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1365 Parks Highway, Suite 101
Wasila, AK 99654-8298 - Phone
- (435) 586-6654
- Fax
- (435) 586-6865
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1365 Parks Highway, Suite 101
Wasila, AK 99654-8298
Mailing address
1365 Parks Highway, Suite 101
Wasila, AK 99654-8298
Phone (435) 586-6654
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.