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MISS TAYLER SIMONE CLARK LCSW
NPI 1982132817
Social Worker - Clinical in Shorewood, WI

Active since May 23, 2017
4465 N OAKLAND AVE UNIT 310, SHOREWOOD, WI 53211(414) 775-3278 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Jan 16, 2020, Jul 31, 2019 and 1 more (4 updates tracked since 2017).

About Miss Tayler Simone Clark Lcsw NPPES

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

MISS TAYLER SIMONE CLARK LCSW (NPI 1982132817) is an individual clinical provider in Shorewood, Wisconsin, licensed in Wisconsin (9047-123) and active in the NPI registry since May 2017. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982132817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS TAYLER SIMONE CLARKCredential: LCSW
Location Address4465 N OAKLAND AVE UNIT 310Shorewood, WI 53211-1662
Mailing Address3034 S Wentworth AveMilwaukee, WI 53207-3017 · (608) 213-9869 · Fax (414) 310-1760
Phone(414) 775-3278
Sole ProprietorYes
Enumeration DateMay 23, 2017
Last NPPES UpdateApril 1, 20214 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1982132817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9047-123
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.
4465 N OAKLAND AVE UNIT 310, Shorewood, WI 53211
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Secondary Practice Locations 4

Location 14536 22nd AveKenosha, WI 53140 · Phone (262) 656-0044
Location 22867 S Kinnickinnic Ave Apt 318Milwaukee, WI 53207-2269 · Phone (608) 213-9869
Location 32222 N Mayfair Rd Ste 120Wauwatosa, WI 53226-2262 · Phone (414) 939-9390
Location 4N19W24400 Riverwood Dr Ste 350Waukesha, WI 53188-1182 · Phone (414) 774-3278 · Fax (414) 310-1760

Other Providers at the Same Location NPPES 3

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

MINDFUL RESTORATION SERVICES LLC
Counselor (Professional)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (414) 939-6540
IVAYLO HRISTOV LCSW
Social Worker (Clinical)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (530) 574-6855
MS. MICHELE DONALSON LPC
Counselor (Professional)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (414) 939-6540

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 Tayler Clark's NPI number?

The NPI number for Tayler Clark is 1982132817. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Tayler Clark located?

Tayler Clark practices at 4465 N Oakland Ave Unit 310, Shorewood, WI 53211. The listed phone number is (414) 775-3278.

What is Tayler Clark'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 Tayler Clark was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.