Mrs. Nicole Lane Clark
LCSW | Mental Health Counselor
31292 Alpine Meadows Rd, Shingletown
California, 96088-9462
530-474-3390 530-474-1407
Maps & DirectionsMrs. Nicole Lane Clark is a Shingletown, California based counselor who is specialized as Mental Health Counselor. Active license number of Mrs. Nicole Lane Clark is 91794 for Mental Health Counselor in California. Her current practice location is 31292 Alpine Meadows Rd, Shingletown. Patients can book an appointment with her at 530-474-3390.
Mrs. Nicole Lane Clark is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mrs. Nicole Lane Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mrs. Nicole Lane Clark |
| Specialization: | Mental Health Counselor |
| Gender: | Female |
| Credentials: | LCSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 31292 Alpine Meadows Rd, Shingletown,
California, 96088-9462 |
| Phone: | 530-474-3390 |
| Fax: | 530-474-1407 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467893032 |
| NPI Enumeration Date: | 11 Jul, 2013 |
| NPI Last Update On: | 21 May, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Nicole Lane Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 91794 | Mental Health Counselor | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Nicole Lane Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 95-2633765 | Other | California | MEDI-CAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1005 Magnolia Ave,
Redding, California |
| Zip: | 96001-0314 |
| Phone Number: | 530-209-5545 |
Patients can reach Mrs. Nicole Lane Clark at
31292 Alpine Meadows Rd, Shingletown, California or can
call to book an appointment on 530-474-3390.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.