Shanavier Clark

NPI 1477044071 · on the registry since 2018 · sole proprietor

Practice

Address: 15024 Martin Luther King Jr Blvd
Gulfport, MS 39501
Phone: (228) 864-0003
Fax: (228) 863-7917
Organisation at this address: Coastal Family Health Center
Coastal Family Health Center Inc
Coastal Family Health Center Inc
Coastal Family Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Social Worker
104100000X
Also registered as: Addiction (Substance Use Disorder) Counselor
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi