Individual provider · Type 1 NPI
Keitrayana Yvette Clark, SWT
School Social Worker · Mansfield, OH
NPI number
1407358682
Active
Practice location
680 Park Ave W
Mansfield, OH 44906-3706
Fax (567) 560-5483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | S.2604919-TRNE (OH) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
School Social Worker: Definition to come...
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About NPI 1407358682
Keitrayana Yvette Clark, SWT's National Provider Identifier is 1407358682, issued on Mar 5, 2018. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Mansfield, OH. The record was last updated on Mar 5, 2026.