NPPES file of Aug 9, 2026

Mary Kenley Clark, LICSW

Clinical Social Worker · Ponte Vedra Beach, FL

Mary Kenley Clark, LICSW is a clinical social worker with a practice address in Ponte Vedra Beach, Florida, and NPI 1639053929, issued on Aug 1, 2025. Check the license on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639053929
Name
Mary Kenley Clark
Credential
LICSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
6365C AL
Self-reported in NPPES; status is on the state search
Practice location
310 S Ocean Grande Dr Unit 101, Ponte Vedra Beach, FL 32082
Phone
(251) 422-2148
Enumerated
Aug 1, 2025
Record last updated
Aug 1, 2025
Medicare enrollment
Enrolled (PECOS I20251210004495); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest clinical social worker records → All 13,458 in Florida → Look up another NPI →

Verify Mary Kenley Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license searchCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Mary Kenley Clark among 13,458 clinical social worker records in Florida

Mary Kenley Clark, LICSW is one of 13,458 clinical social worker records with a practice address in Florida. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 91% of them.

  • NPI issued2025 · 91% of these records are older, 3% newer
  • In a Medicare fileNo · 12% of these records are
  • In the CMS Doctors and Clinicians fileYes · 21% of these records are
  • Graduated2022 · median 2010 among the 2,789 with a school on file
  • Record last updated2025 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 clinical social worker records list a practice address in Ponte Vedra Beach

They are 19 of the 474 NPPES records with a practice address in Ponte Vedra Beach, and 13,458 clinical social worker records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 13,458 in Florida → Every provider in Ponte Vedra Beach → Clinical Social Worker nationwide →

The 8 clinical social worker records with the nearest ZIP codes

  1. Kelli Cutright, LCSWPonte Vedra Beach, FL 320821386009918
  2. Etta Ettlinger, LCSWPonte Vedra, FL 320821144207713
  3. Cynthia Geddes, LCSWPonte Vedra Beach, FL 320821366558389
  4. Deborah Hanna, LCSWPonte Vedra Beach, FL 320821033208996
  5. Jane Hern, LCSWPonte Vedra Beach, FL 320821841996055
  6. Jane Hill, L.C.S.W., D.C.S.W.Ponte Vedra Beach, FL 320821265539555
  7. Rachel Hillegass, MSW, LCSWPonte Vedra Beach, FL 320821437936010
  8. Shani Hoffman, LCSWPonte Vedra Beach, FL 320821053010371

Common questions

What is Mary Kenley Clark, LICSW's NPI number?

Mary Kenley Clark, LICSW's National Provider Identifier (NPI) is 1639053929, issued on Aug 1, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Mary Kenley Clark, LICSW located?

The NPPES record lists a practice address at 310 S Ocean Grande Dr Unit 101, Ponte Vedra Beach, FL, 32082. Phone: (251) 422-2148. Providers update this record themselves, so call before visiting.

How can I verify Mary Kenley Clark, LICSW's license?

Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.