Capen Shayne Clarke

Clinical Social Worker · Cocoa, FL

Individual Active NPI

NPI number 1083140438

Practice location

4420 Delespine Rd
Cocoa, FL 32927-3552
Phone
(321) 795-6818

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NPI record

NPI
1083140438
Entity type
Individual (Type 1)
Enumeration date
May 4, 2017
Last updated
October 17, 2022
Certified
October 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X PO17106 NC
Counselor 101Y00000X — —
Clinical Social Worker 1041C0700X — —

About Capen Clarke

Capen Shayne Clarke is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4420 Delespine Rd, Cocoa, FL 32927-3552. The NPI number 1083140438 was assigned on May 4, 2017 and the record was last updated on October 17, 2022.

Capen Clarke lists a license in the registry: #PO17106 (NC) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Capen Shayne Clarke?

The NPI number is 1083140438.

What is the phone number of Capen Clarke?

The phone number listed for the practice location is (321) 795-6818.

Where is Capen Clarke located?

4420 Delespine Rd, Cocoa, FL 32927-3552.

What is the taxonomy code for Capen Clarke?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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