National Provider Identifier Database

SHANAVIER CLARK
Social Worker

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.


Contact Information

SHANAVIER CLARK
15024 MARTIN LUTHER KING JR BLVD
GULFPORT, MS39501-8306
Phone: 228-864-0003
Fax: 228-863-7917
Website:
Specialty Taxonomy Code
* Social Worker 104100000X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for SHANAVIER CLARK

NPI Number 1477044071
Credentials
Entity Individual
Enumeration date 05/21/2018
Last updated 11/24/2025 - About 6 months ago
Sole proprietor1 Yes
Identifiers
  • MS License #: C11808
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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