Shanavier Clark

  • Gulfport, MS
  • Social worker
NPI1477044071PAC ID6002392503
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2018
Practice address
15024 Martin Luther King Jr Blvd, Gulfport, MS 39501
Practice phone
Call (228) 864-0003
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

Coastal Family Health Center - Gulfport Clinic

FQHC - Main Site · Gulfport, Mississippi

See all 2 affiliations

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Shanavier Clark is a social worker in Gulfport, Mississippi

Shanavier Clark practices at Coastal Family Health Center - Gulfport Clinic in Gulfport, Mississippi.

Shanavier Clark's NPI, 1477044071, was assigned on May 21, 2018. Shanavier Clark holds Mississippi license C11808.

NPI and contact details
Medicare PAC ID
6002392503
NPI enumeration date
May 21, 2018
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(228) 864-0003
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
35
Medical school graduation
2017

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Shanavier Clark practices at Coastal Family Health Center - Gulfport Clinic in Gulfport, Mississippi

Shanavier Clark's primary practice is Coastal Family Health Center - Gulfport Clinic, at 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 in Harrison County. The practice phone is (228) 864-0003.

  • Coastal Family Health Center - Gulfport Clinic
    15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 · Harrison CountyPhone(228) 864-0003

Source: Dmand AI Affiliation Data

Shanavier Clark is affiliated with 1 site of care and 1 medical group

Shanavier Clark's primary practice is Coastal Family Health Center - Gulfport Clinic in Gulfport, Mississippi. The medical group on file is Coastal Family Health Center. Shanavier Clark's employer is on file too: a community health center (fqhc).

See all 2 affiliations for Shanavier Clark

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Shanavier Clark's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Shanavier Clark practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Coastal Family Health Center - Gulfport ClinicAvailable with a free account

Source: Dmand AI Technology Install Data

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Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.

Shanavier Clark is one of 65 social workers in Mississippi

Social worker is Shanavier Clark's primary specialty in the NPI Registry, under taxonomy code 104100000X. Shanavier Clark is licensed in Mississippi.

Specialties and state licenses

  • Social worker, MississippiPrimaryLicense C11808 · taxonomy 104100000X

Social workers near Shanavier Clark

Counts of social workers with a Dmand AI profile, by place and practice. Each opens the list.

65social workers in Mississippi
3social workers in Gulfport

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Shanavier Clark's patients have a median age of 36

Across all payers, Dmand AI patient panel data puts Shanavier Clark's median patient age at 36, with 79% women.

Shanavier Clark's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 36

Patient panel by sex, all payers

  • Women79%
  • Men21%

Source: Dmand AI Patient Panel Data

How Shanavier Clark takes part in Medicare

Shanavier Clark accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Shanavier Clark's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Shanavier Clark

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Shanavier Clark's NPI number?

Shanavier Clark's NPI number is 1477044071. It was assigned on May 21, 2018, and it is active in the NPI Registry.

What does Shanavier Clark specialize in?

Shanavier Clark is a social worker in Gulfport, Mississippi. The primary specialty in the NPI Registry is Social Worker (taxonomy code 104100000X).

Where does Shanavier Clark practice?

Shanavier Clark practices at 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501. Shanavier Clark's primary practice is Coastal Family Health Center - Gulfport Clinic in Gulfport, Mississippi.

What is Shanavier Clark's office phone number?

The practice phone on file for Shanavier Clark is (228) 864-0003. Dmand AI also checks direct phone and mobile numbers, available with a free account.

What is Shanavier Clark's email address?

Dmand AI checks professional and personal email addresses for Shanavier Clark through healthcare-specific waterfall enrichment. They are available with a free Dmand AI account.

What is Shanavier Clark's medical license number?

Shanavier Clark holds Mississippi license C11808, one of 2 state licenses on file.

What medical group is Shanavier Clark part of?

Shanavier Clark is linked to Coastal Family Health Center.

Who employs Shanavier Clark?

Dmand AI has Shanavier Clark's employer on file: a community health center (fqhc). The organization's name is available with a free Dmand AI account.

Who does Shanavier Clark practice with?

Dmand AI links 80 HCPs to Shanavier Clark's primary medical group, 1 of them social worker. A free account lists them, with verified contacts.

Does Shanavier Clark accept Medicare?

Yes. CMS lists Shanavier Clark as accepting Medicare assignment.

How long has Shanavier Clark been practicing?

Shanavier Clark graduated from medical school in 2017, 9 years ago.

What EHR does Shanavier Clark's practice use?

Dmand AI tracks the EHR system at Coastal Family Health Center - Gulfport Clinic. The vendor and product are available with a free Dmand AI account.

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