Shanavier Clark
Shanavier Clark is a Clinical Social Worker in Gulfport, Mississippi. Qualified in 2017, 9 years ago. Practices with Coastal Family Health Center, Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 9
- Licensed in
- MS
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
15024 Martin Luther King Jr BlvdGulfport, MS 39501-8306
Phone: (228) 864-0003
Fax: (228) 863-7917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence C11808 (MS) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1477044071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2018 |
| Last updated in NPPES | November 24, 2025 |
| Certification date | November 24, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Coastal Family Health Center, Inc — 48 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Gulfport
-
MS. Lisa K Crain, MED, LSW, CMHT
1600 Broad Ave, Gulfport, MS 39501-3603 · (228) 863-1132
-
Eloise Antoinette Fairley
1325 Foxwood Pl, Gulfport, MS 39507-3872 · (228) 207-1248
-
MS. Daphne Ferriera Fisher
1600 Broad Ave, Gulfport, MS 39501-3603 · (228) 863-1132
-
Marcella A Hale, BS
1989 Pass Rd, Gulfport, MS 39531 · (228) 207-1248