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

Lavon Jo Clark

Individual provider Mental Health Counselor · NPI 1568984060

Lavon Jo Clark is a Clinical Social Worker in Miami, Oklahoma. Qualified in 2017, 9 years ago. Registered with an NPI since 2017.

Years since qualifying
9
In the registry since
2017

Practice location Address checks out

111 S Treaty Rd
Miami, OK 74354-5327
Phone: (918) 540-1511
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1568984060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 21, 2022
Mailing address111 S Treaty Rd, Miami, OK 74354-5327

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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