MRS. TRINESE CLARK LICSW
NPI 1003334160
Social Worker - Clinical in Kent, WA
About Mrs. Trinese Clark Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRINESE CLARK LICSW (NPI 1003334160) is an individual clinical provider in Kent, Washington, licensed in California (118593) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Trinese Clark Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Trinese Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENT, WA 98032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Trinese Clark's NPI number?
The NPI number for Trinese Clark is 1003334160. It was assigned to this individual provider in the NPPES registry on September 8, 2017. The provider is also known as Ms. Trinese Brown.
Where is Trinese Clark located?
Trinese Clark practices at 615 W Titus St, Kent, WA 98032. The listed phone number is (206) 369-9766.
What is Trinese Clark's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Trinese Clark enrolled in Medicare?
Yes. Trinese Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Trinese Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trinese Clark reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Trinese Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Trinese Clark accept?
Health plans from Providence Health Plan list Trinese Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Trinese Clark was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Trinese Clark, LICSW · NPI 1003334160
Clinical provider in Kent, Washington. Individual provider, active in the CMS NPPES registry since September 8, 2017.
## Identity
- **NPI:** 1003334160 (Entity type: Individual)
- **Enumerated:** September 8, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 118593 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 W TITUS ST, Kent, WA 98032-5749
- **Phone:** (206) 369-9766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003334160) · Data from the CMS NPPES public registry.