Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KENLEY CLARK, LICSW
Active Sole ProprietorMARY KENLEY CLARK, LICSW is a Clinical Social Worker healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1639053929 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PONTE VEDRA BEACH, FL
Registration Details
- NPI Number
- 1639053929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2025 (0.99790780372587 yrs)
- Last Updated
- Aug 1, 2025
- License
-
6365C (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 S OCEAN GRANDE DR UNIT 101PONTE VEDRA BEACH, FL, 320826539Browse FL providers · Browse ZIP 32082
- Phone
- 2514222148
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PONTE VEDRA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA GEDDES | LCSW | 1366558389 |
| MS. JANE YOUNG HILL | L.C.S.W., D.C.S.W. | 1265539555 |
| DEBORAH D. HANNA | LCSW | 1033208996 |
| TRACYE ANN POLSON | L.C.S.W. | 1801028295 |
| MS. KELLI ELDER CUTRIGHT | LCSW | 1386009918 |
| MS. JENNIFER MARIE MALLIS | MSW, LCSW, QS | 1093166530 |
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.