Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANAVIER CLARK
Active Sole ProprietorSocial Worker · GULFPORT, MS
Registration Details
- NPI Number
- 1477044071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2018 (7.95043377127 yrs)
- Last Updated
- Nov 24, 2025
- License
-
C11808 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15024 MARTIN LUTHER KING JR BLVDGULFPORT, MS, 395018306Browse MS providers · Browse ZIP 39501
- Phone
- 2288640003
- Fax
- 2288637917
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MR. EUGENE C HOLTHOUSER JR. | BSW | 1346344918 |
| MS. AVA D BANKS | B.S. | 1447342456 |
| GUADALUPE MARIE PITOAU CHIQUINA | B.A. | 1588756506 |
| MRS. SONYA LYNN CARTER | B.S. | 1932291945 |
| MS. VANESSA D GIESELER | B.S. | 1528150372 |
| MARY VIRGINIA BRENNAN | BS | 1194817957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.