J'Ere Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21138 Issued in FL

Practice address

1815 Hartsfield Rd Apt 4
Tallahassee, FL 32303-3754

Phone

(321) 961-0824

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By 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

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1356040034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HARTSFIELD RD APT 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033754",
            "telephone_number": "321-961-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HARTSFIELD RD APT 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033754",
            "telephone_number": "321-961-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "J'ERE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Daniel Clark
• Dana Clark
• Deirdre Danielle Clark, MSW
• Edmund Justin Clark, MD
• Gaynell Clark, M.S
• James R Clark, PA
• Jennifer Pavlik Clark, LMHC
• Kalayah Sa'Yir Clark
• Leslie Susan Clark, MSW, LCSW
• Mason Samuel Clark

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.