Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capen Shayne Clarke

Individual provider Counselor · NPI 1083140438

Capen Shayne Clarke is a Counselor in Cocoa, Florida. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
3

Practice location Address checks out

4420 Delespine Rd
Cocoa, FL 32927-3552
Phone: (321) 795-6818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PO17106 (NC)
Counselor Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083140438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2017
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022
Mailing address4420 Delespine Rd, Cocoa, FL 32927-3552

Other providers in Cocoa