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CAPEN SHAYNE CLARKE
NPI 1083140438
Social Worker - Clinical in Cocoa, FL

Active since May 04, 2017
4420 DELESPINE RD, COCOA, FL 32927(321) 795-6818 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2022, Oct 14, 2022 (2 updates tracked since 2022).

About Capen Shayne Clarke NPPES

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

CAPEN SHAYNE CLARKE (NPI 1083140438) is an individual clinical provider in Cocoa, Florida, licensed in North Carolina (PO17106) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1083140438
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCAPEN SHAYNE CLARKE
Location Address4420 DELESPINE RDCocoa, FL 32927-3552
Mailing Address4420 Delespine RdCocoa, FL 32927-3552 · (321) 795-6818
Phone(321) 795-6818
Sole ProprietorYes
Enumeration DateMay 4, 2017
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1083140438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · PO17106
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
4420 DELESPINE RD, Cocoa, FL 32927
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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 Capen Clarke's NPI number?

The NPI number for Capen Clarke is 1083140438. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Capen Clarke located?

Capen Clarke practices at 4420 Delespine Rd, Cocoa, FL 32927. The listed phone number is (321) 795-6818.

What is Capen Clarke's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Capen Clarke was last updated on October 17, 2022. 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.