Shardaun D. Clark, LCSW
NPI 1144971177ActiveIndividual· Social Worker, Clinical· Milton, FL
Social Worker, Clinical (LCSW) in Milton, Florida, licensed in FL, with an NPI issued in January 2022. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1144971177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW19313 | FL |
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) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|
Other Social Worker, Clinical providers in Milton
- 1346139789
- 1780416933
- 1023848934
- 1932637253
- 1255213328
- 1952127854
- 1548763014
- 1912612391
- 1851648737
- 1265155667
- 1376107276
- 1598544140