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

Lasheena J. Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093941957

Lasheena J. Clark is a Mental Health Counselor in Chicago, Illinois. Qualified in 2010, 16 years ago. Practices with Primecare Community Health, Inc, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1448 N Milwaukee Ave Ste 201
Chicago, IL 60622-9225
Phone: (312) 476-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5341 W Cermak Rd, Cicero, IL 60804-2817 — (708) 656-6430

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.012484 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093941957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address1448 N Milwaukee Ave Ste 201, Chicago, IL 60622-9225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Primecare Community Health, Inc. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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