Cristian Clark
Individual provider Active NPI Clinical Social Worker · Universal City, TX
NPI 1093370306 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1093370306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 62045 (TX)
- Practice address
- 508 Pat Booker Rd # 5216
Universal City, TX 78148-4434 - Phone
- (210) 960-6952
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62045 | TX | Yes |
Addresses
Primary practice location
508 Pat Booker Rd # 5216
Universal City, TX 78148-4434
Mailing address
508 Pat Booker Rd # 5216
Universal City, TX 78148-4434
Phone (210) 960-6952
Other providers in Universal City, TX
- Debra Q Cervera
- Andrea Chavez-Arreola
- Xu Chen
- Christus Ambulatory Surgery Center at Olympia Hills LLC
- Gladys Cisneros
- Naomi Marie Clark
- Nicolle M Clark
- Mackenzie Diane Clasgens
- Kennede Clemons-Starks
- Cynthia E Clifford
All providers in Universal City, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.