Renette Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5222 Andrus Ave
Orlando, FL 32810-5400

Phone

(407) 745-5022

NPI assigned

Dec 16, 2025

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renette Gerver Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridges Community Support Services

  • Case Management Agency
  • Orlando, FL
  • NPI 1659877355
  NPD (past)

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1245194976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 SCHANK CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328115630",
            "telephone_number": "407-860-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105400",
            "telephone_number": "407-745-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RENETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENETTE",
            "last_name": "GERVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madeline Clark, BCBA
• Margaret Mary Clark
• Mark C Clark, MD
• Nicole Clark
• Rebecca Jo Clark, MSW
• Samantha Clark, APRN-BC
• Shaneen Clark, APRN
• Sharlynn Clark, COTA
• Sloan Clark
• Theresa A Clark, RDN/LDN, CSP

• Case Manager/Care Coordinator in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.