Capen Shayne Clarke
NPI 1083140438ActiveIndividual· Social Worker, Clinical· Cocoa, FL
Social Worker, Clinical in Cocoa, Florida, licensed in NC, with an NPI issued in May 2017.
Overview
| NPI | 1083140438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 4, 2017 |
| Last updated in NPPES | Oct 17, 2022 |
| Certified by provider | Oct 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | PO17106 | NC |
| Counselor | 101Y00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Social Worker, Clinical providers in Cocoa
- 1295848703
- 1821712712
- 1083198741
- 1649019472
- 1225487804
- 1295200699
- 1578337531
- 1417100462
- 1891924411
- 1134447881
- 1649669763
- 1760446215