SERENA ADRIANA CLARK
NPI 1942869011
Community Health Worker in San Diego, CA

Active since June 11, 2019
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102(619) 398-2156 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 10, 2023, Dec 15, 2021, Jun 11, 2019 (3 updates tracked since 2019).

About Serena Adriana Clark NPPES

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

SERENA ADRIANA CLARK (NPI 1942869011) is an individual community health worker in San Diego, California and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1942869011
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameSERENA ADRIANA CLARK
Location Address995 GATEWAY CENTER WAY STE 300San Diego, CA 92102-4550
Mailing Address995 Gateway Center Way, Suite 300 San Diego, Ca 92102, Suite 300San Diego, CA 92102 · (619) 398-2156
Sole ProprietorYes
Enumeration DateJune 11, 2019
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
NPI 1942869011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
995 GATEWAY CENTER WAY STE 300, San Diego, CA 92102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Social Worker (Clinical)
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Counselor (Mental Health)
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Peer Specialist
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Rehabilitation Practitioner
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Rehabilitation Practitioner
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Social Worker (Clinical)
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Registered Nurse
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102
Marriage & Family Therapist
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102

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 Serena Clark's NPI number?

The NPI number for Serena Clark is 1942869011. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Serena Clark located?

Serena Clark practices at 995 Gateway Center Way Ste 300, San Diego, CA 92102. The listed phone number is (619) 398-2156.

What is Serena Clark'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 Serena Clark was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.