TRACEY BLACK
NPI 1740893155
Community Health Worker in Stockton, CA

Active since August 25, 2020
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8842 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 26, 2025, Dec 13, 2023, Oct 5, 2022 and 1 more (4 updates tracked since 2020).

About Tracey Black NPPES

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

TRACEY BLACK (NPI 1740893155) is an individual community health worker in Stockton, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1740893155
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameTRACEY BLACK
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address538 N Lincoln AveManteca, CA 95336-3940 · (209) 679-7309
Sole ProprietorYes
Enumeration DateAugust 25, 2020
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1740893155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C041740417 (CA)
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
1212 N CALIFORNIA ST, Stockton, CA 95202

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202

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 Tracey Black's NPI number?

The NPI number for Tracey Black is 1740893155. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Tracey Black located?

Tracey Black practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8842.

What is Tracey Black's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Tracey Black was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.