Shanavier Clark
Social Worker · Gulfport, MS
Shanavier Clark is a social worker with a practice address in Gulfport, Mississippi, and NPI 1477044071, issued on May 21, 2018. Check the license (Mississippi C11808, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shanavier Clark
- Primary taxonomy
- Social Worker 104100000X
- License number
- C11808 MS
Self-reported in NPPES; status is on the state search - Practice location
- 15024 Martin Luther King JR Blvd, Gulfport, MS 39501
- Phone
- (228) 864-0003
- Enumerated
- May 21, 2018
- Record last updated
- Nov 24, 2025
- Fax
- (228) 863-7917
- Medicare enrollment
- Enrolled (PECOS I20260114004034); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 15024 Martin Luther King JR Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sabrina BarnettFamily Nurse Practitioner1477010866
- Lindberg Clark, DMDDentist1568439107
- Rebekah Daniels, WHNP-BCWomen's Health Nurse Practitioner1265960553
- Tiffanie Ferry, FNP-CFamily Nurse Practitioner1134703374
- Theresa Foley, LCSWClinical Social Worker1922409531
- Timothy Frye, CRNPFamily Nurse Practitioner1336565431
Verify Shanavier Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license C11808Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Coastal Family Health Center, IncGulfport, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
60 social worker records list a practice address in Gulfport
They are 60 of the 2,030 NPPES records with a practice address in Gulfport, and 852 social worker records in Mississippi.
All 60 in Gulfport → All 852 in Mississippi → Every provider in Gulfport →
Other social worker records in Mississippi
- Jodi AaronBooneville, MS1487522108
- Melissa Aberle Guy, BAOlive Branch, MS1497644132
- Erica AcersonHorn Lake, MS1265288203
- Suzanne Adcock, LMSWMeridian, MS1770245110
- Devin Agnew, BA, PCCSSOxford, MS1851758213
- Danielle Albert, BSWJackson, MS1649985094
- Erika AlexanderJackson, MS1366097503
- Angelia Allen, MSWRipley, MS1295292480
- Brandi Allen, LSWJackson, MS1831401116
- Jamie AllenGautier, MS1235608605
Common questions
What is Shanavier Clark's NPI number?
Shanavier Clark's National Provider Identifier (NPI) is 1477044071, issued on May 21, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Shanavier Clark located?
The NPPES record lists a practice address at 15024 Martin Luther King JR Blvd, Gulfport, MS, 39501. Phone: (228) 864-0003. Providers update this record themselves, so call before visiting.
How can I verify Shanavier Clark's license?
NPPES lists Mississippi license number C11808, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
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.