Individual provider · Type 1 NPI

Shanavier Clark

Social Worker · Gulfport, MS

NPI number 1477044071 Active

Practice location

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306

Fax (228) 863-7917

Mailing address

10467 Corporate Dr
Gulfport, MS 39503-4634

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Social Worker Primary 104100000XC11808 (MS)

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.

18 other providers at this address

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About NPI 1477044071

Shanavier Clark's National Provider Identifier is 1477044071, issued on May 21, 2018. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Gulfport, MS. The record was last updated on Nov 24, 2025.