Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Katrina Ann Clark, CSWA

Individual provider Clinical Social Worker · NPI 1003482654

Mrs. Katrina Ann Clark, CSWA is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

1715 E Burnside St Ste 201
Portland, OR 97214-1531
Phone: (808) 343-2163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2177 Se Umatilla St, Portland, OR 97202-7414 — (808) 343-2163

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A5091 (OR)

Record details

NPI number1003482654
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSWA
Sole proprietorYes
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

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