MR. SHAWN W CLARK
NPI 1073298790
Counselor - Mental Health in Jacksonville, FL

Active since June 20, 2023
555 STOCKTON ST, JACKSONVILLE, FL 32204(904) 387-4661 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shawn W Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHAWN W CLARK (NPI 1073298790) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH20786) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1073298790
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHAWN W CLARK
Location Address555 STOCKTON STJacksonville, FL 32204-2534
Mailing Address555 Stockton StJacksonville, FL 32204-2534 · (904) 387-4661
Sole ProprietorNo
Enumeration DateJune 20, 2023
NPPES CertifiedJune 20, 2023
NPI 1073298790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH20786
555 STOCKTON ST, Jacksonville, FL 32204

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor
555 STOCKTON ST
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Clark's NPI number?

The NPI number for Shawn Clark is 1073298790. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Shawn Clark located?

Shawn Clark practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 387-4661.

What is Shawn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shawn Clark was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.