Shanavier Clark
Social Worker in Gulfport, MS. Individual provider (NPI-1).
NPI number1477044071
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1477044071
- Entity type
- Individual (NPI-1)
- Name
- Shanavier Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2018
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | C11808 | MS | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
15024 Martin Luther King Jr BlvdGulfport, MS 39501-8306
Phone 228-864-0003 · Fax 228-863-7917
Mailing address
10467 Corporate DrGulfport, MS 39503-4634
Phone 228-374-2494 · Fax 228-396-3457
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Social Worker providers in Gulfport, MS
- Ava D Banks, B.S.NPI 1447342456
- Korilyn Celest Baudoin, MSWNPI 1427899707
- Jalillian W Bolton, LMSWNPI 1932764289
- Mary Virginia Brennan, BSNPI 1194817957
- Cheryl Denise Caldwell, BANPI 1225154131
- Ashley CalvertNPI 1235979766
- Ashley Campbell, LMSWNPI 1679269633
- Sonya Lynn Carter, B.S.NPI 1932291945
- Guadalupe Marie Pitoau Chiquina, B.A.NPI 1588756506
- Tiffany Cole, LMSWNPI 1528759768
All 61 Social Worker providers in Gulfport · All 2,821 providers in Gulfport
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.