Mrs Katrina Ann Clark, CSWA - Clinical Social Worker in Portland, OR

Mrs Katrina Ann Clark, CSWA is a Social Worker - Clinical based in Portland, Oregon. Mrs Katrina Ann Clark is licensed to practice in Oregon (license number A5091) and her current practice location is 1715 E Burnside St Ste 201, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (808) 343-2163.

NPI number for Mrs Katrina Ann Clark is 1003482654 and her current mailing address is 2177 Se Umatilla St, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003482654.

Contact Information

Mrs Katrina Ann Clark, CSWA
1715 E Burnside St Ste 201,
Portland, OR 97214-1531
(808) 343-2163
Not Available



Healthcare Provider's Profile

Full NameMrs Katrina Ann Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location1715 E Burnside St Ste 201, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003482654
  • Provider Enumeration Date: 06/02/2021
  • Last Update Date: 06/02/2021

Medical Identifiers

Medical identifiers for Mrs Katrina Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003482654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical A5091 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katrina Ann Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Katrina Ann Clark, CSWA
2177 Se Umatilla St,
Portland, OR 97202-7414

Ph: (808) 343-2163
Mrs Katrina Ann Clark, CSWA
1715 E Burnside St Ste 201,
Portland, OR 97214-1531

Ph: (808) 343-2163

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› Verified 1 days ago


Social Worker in Portland, OR

Ms. Claudette Hastie Beahrs, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3318 Ne Hancock St, Portland, OR 97212
Phone: 503-249-7215    Fax: 503-335-3444
Ms. Sonya Carmen Strickland, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214
Phone: 503-709-6101    
Mr. Del R Thornton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205
Phone: 503-449-3238    
Mrs. Yvette Denine Arey, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207
Phone: 503-220-8262    Fax: 503-273-5210
Mr. Paul Patrick Lee, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12 Se 14th Ave, Portland, OR 97214
Phone: 503-235-3433    Fax: 503-235-4762
Mrs. Nalini Kuruppu, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2233 N Holman St, Portland, OR 97217
Phone: 503-753-9157    
Jeni Lynne Shilman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2701 Nw Vaughn St, Portland, OR 97210
Phone: 503-499-5200    

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