Dr. Trinese Clark, a Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DR. TRINESE CLARK, A LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

550 Front St Unit 1504
San Diego, CA 92101-7094

Phone

(425) 279-9922

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Authorized official

Name

Trinese Clark, DSW, LCSWNPI 1003334160

Title

Ceo

Phone

(619) 366-8277

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.

• Trinese Clark, LICSW

  • Clinical Social Worker
  • Kent, WA
  • NPI 1003334160
  NPD Authorized official

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1619849643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRONT ST UNIT 1504",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017094",
            "telephone_number": "425-279-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FRONT ST UNIT 1504",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017094",
            "telephone_number": "425-279-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRINESE CLARK, A LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRINESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-366-8277",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.