TRYESHA SHIRAY CLARK
NPI 1629614276
Case Manager/Care Coordinator in Lawton, OK

Q: What is Tryesha Clark's NPI number?

The NPI number for Tryesha Clark is 1629614276. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Tryesha Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tryesha Clark was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 19, 2019

602 SW A AVE, LAWTON, OK 73501(405) 317-5987 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tryesha Shiray Clark NPPES

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

TRYESHA SHIRAY CLARK (NPI 1629614276) is an individual case manager/care coordinator provider in Lawton, Oklahoma, licensed in Tennessee (127208565) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1629614276

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTRYESHA SHIRAY CLARK

Location Address602 SW A AVELawton, OK 73501-3930

Mailing Address602 Sw A AveLawton, OK 73501-3930

Phone(405) 317-5987

Sole ProprietorNo

Enumeration DateNovember 19, 2019

✔ NPI 1629614276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in TN · 127208565

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

602 SW A AVE, Lawton, OK 73501

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY JOVITA KINCADE-ANEKI

Case Manager/Care Coordinator

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 713-8107

ANGELA DAWN EVANS

Case Manager/Care Coordinator

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 262-8945

MRS. COURTNEY A. GREEN

Social Worker

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 355-0072

SHANETIA JENKINS MS

Counselor (Mental Health)

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 678-7452

IVY FLANDERS

Social Worker

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 355-0072

MRS. HANNA JIMENEZ

Case Manager/Care Coordinator

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 699-5523

YCO TULSA, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 699-2023

RANDY STEVEN HONEYCUTT

Counselor (Addiction (Substance Use Disorder))

602 SW A AVE
LAWTON, OK 73501

Comanche County (580) 355-0072

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 Tryesha Clark's NPI number?

The NPI number for Tryesha Clark is 1629614276. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Tryesha Clark located?

Tryesha Clark practices at 602 SW A Ave, Lawton, OK 73501. The listed phone number is (405) 317-5987.

What is Tryesha Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tryesha Clark was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.