Clark Community Connections LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CLARK COMMUNITY CONNECTIONS LLC

Practice address

1200 Stuyvesant Ave Apt a
Trenton, NJ 08618-3484

Phone

(609) 571-5730

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Paulette ClarkNPI 1689569758

Title

Licensee

Phone

(609) 571-5730

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Clark, RN

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1689569758
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1346137486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STUYVESANT AVE APT A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183484",
            "telephone_number": "609-571-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STUYVESANT AVE APT A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183484",
            "telephone_number": "609-571-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "609-571-5730"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Chung, DO
• John Wonkook Chung, M.D.
• City of Trenton
• City of Trenton Board of Education
• Ellen Clancey, NP
• Andrea Clark
• Moniquea T Clark, M.DIV., E-RYT, YACEP
• Tina Clark, RN
• Claude Abouchedid,M.D., Facs, PA
• Jill Claudio, LCSW

• Developmentally Disabled Services Day Training Agency in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.