Active NPI
Tresce Jessica Clark, B.S.
- Clinical Social Worker
- Clinton, OK
National Provider Identifier
1871924019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1041CO700X
- Practice address
- 90 N 31St St
Clinton, OK 73601-9116 - Phone
- (405) 778-4118
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1041CO700X | OK | Primary |
Addresses
Primary practice location
90 N 31St St
Clinton, OK 73601-9116
Mailing address
215 E University Dr
#4
Weatherford, OK 73096-2015
Phone (405) 778-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041CO700X | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1871924019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E UNIVERSITY DR",
"address_2": "#4",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730962015",
"telephone_number": "405-778-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 N 31ST ST",
"city": "CLINTON",
"state": "OK",
"postal_code": "736019116",
"telephone_number": "405-778-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "TRESCE",
"middle_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "1041CO700X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, OK
- Pauline Celsor, RN
- Nancy Charbonneau, PRN
- Cheyenne-Arapaho Tribes of Oklahoma (Cheyenne Arapaho EMS)
- Chic Aesthetics and Wellness X Michaela LLC
- Christopher Kolker, MD PLLC (Christopher Kolker, M.D.)
- Clint and Carolyn Inc. (Better Hearing Systems)
- Clinton Chiropractic Center Inc
- Clinton Dental Group PLLC
- Clinton Hma LLC (AllianceHealth Clinic Clinton Hills)
- Clinton Hma LLC (AllianceHealth Clinic Clinton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.