Individual provider · Type 1 NPI

Tracey Black

Community Health Worker · Stockton, CA

NPI number 1740893155 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Call (209) 468-8842 Map

Mailing address

538 N Lincoln Ave
Manteca, CA 95336-3940

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XC041740417 (CA)
Day Training/Habilitation Specialist 373H00000XNone listed
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1740893155

Tracey Black's National Provider Identifier is 1740893155, issued on Aug 25, 2020. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Stockton, CA. The record was last updated on Mar 26, 2025.