Lucrethia Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004718 Issued in GA

Practice address

810 Carrington Green Pkwy
McDonough, GA 30252-7690

Phone

(404) 643-7176

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1053418848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CARRINGTON GREEN PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527690",
            "telephone_number": "404-643-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CARRINGTON GREEN PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527690",
            "telephone_number": "404-643-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Clairmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303291015",
            "country_code": "US",
            "telephone_number": "470-241-1353",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LUCRETHIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004718",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 11982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890831100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CJ Turner Co. Inc.
• Claire Custom Care
• Greg Donald Clanton
• Deeann Unsworth Clarington, ED.S., LPC
• Kayla Clark
• William Douglas Clark
• Clayton Center CSB
• Claytoncommunity Mhsads Service Board (Clayton Center MHDDAD)
• Clear Minds Family Center LLC
• Clearpath Psychiatry LLC

• Occupational Therapist in McDonough, GA
• Providers in McDonough, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.