1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Case Manager Care Coordinator
  6. NPI Profile

SHANNON CLARK
NPI 1386322543
Case Manager/Care Coordinator in San Luis Obispo, CA

Active since July 07, 2023
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Clark NPPES

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

SHANNON CLARK (NPI 1386322543) is an individual case manager/care coordinator provider in San Luis Obispo, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1386322543
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHANNON CLARK
Location Address2945 MCMILLAN AVE STE 240San Luis Obispo, CA 93401-6771
Mailing Address2945 Mcmillan Ave Ste 240San Luis Obispo, CA 93401-6771 · (805) 439-4890
Phone(805) 439-4890
Sole ProprietorYes
Enumeration DateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1386322543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2945 MCMILLAN AVE STE 240, San Luis Obispo, CA 93401
Open in Google Maps ↗

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.

MARISSA BAILEY TABARES
Social Worker (Clinical)
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
AMY ELIZABETH MAYFIELD
Day Training/Habilitation Specialist
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
DESIREE DIANE GUZMAN
Technician, Health Information
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
SARA CHRISTINE MCCHESNEY LVN
Licensed Vocational Nurse
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
RANDI ROWE PUST PSYCH TECH
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
JACOB ADAM ZAVALA
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
ISAAC VALDEZ
Case Manager/Care Coordinator
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
HANNAH MILLER
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4839

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 Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1386322543. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Shannon Clark located?

Shannon Clark practices at 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4890.

What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on July 7, 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.