MRS. KATRINA ANN CLARK CSWA
NPI 1003482654
Social Worker - Clinical in Portland, OR

Active since June 02, 2021
1715 E BURNSIDE ST STE 201, PORTLAND, OR 97214(808) 343-2163 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Katrina Ann Clark Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATRINA ANN CLARK CSWA (NPI 1003482654) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A5091) and active in the NPI registry since June 2021. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1003482654
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATRINA ANN CLARKCredential: CSWA
Location Address1715 E BURNSIDE ST STE 201Portland, OR 97214-1531
Mailing Address2177 Se Umatilla StPortland, OR 97202-7414 · (808) 343-2163
Sole ProprietorYes
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
NPI 1003482654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · A5091
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1715 E BURNSIDE ST STE 201, Portland, OR 97214

Secondary Practice Location 1

Location 12177 SE Umatilla StPortland, OR 97202-7414 · Phone (808) 343-2163

Accepted Insurance

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 Katrina Clark's NPI number?

The NPI number for Katrina Clark is 1003482654. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Katrina Clark located?

Katrina Clark practices at 1715 E Burnside St Ste 201, Portland, OR 97214. The listed phone number is (808) 343-2163.

What is Katrina Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Katrina Clark accept?

Health plans from HMSA list Katrina 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 Katrina Clark was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.