Tracy Denise Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3094 W Market St Ste 343
Fairlawn, OH 44333-3618

Phone

(234) 334-5589

NPI assigned

Jun 14, 2023

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

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1497439731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 VIRGINIA AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063650",
            "telephone_number": "133-070-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 343",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333618",
            "telephone_number": "234-334-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACY",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Fairlawn
• Ashlee Clark
• Danielle Sheniece Clark, LPCC-S
• Jessica Clark
• Tara Clark, LDO
• Solomon Clemens
• Cleo'S Care LLC
• Joanna K Cline, PCC
• Susanna Cline, MA, CCC-SLP
• Deanna Clingerman

• Case Manager/Care Coordinator in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.