Stacy Clark

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13853257-3501 Issued in UT

Practice address

230 N 1680 E Ste T2
St George, UT 84790-2573

Phone

(435) 243-5844

Fax

(435) 986-8700

NPI assigned

Mar 11, 2022

Last updated

Apr 14, 2026By 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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1578211348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE T2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902573",
            "telephone_number": "435-243-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE T2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902573",
            "telephone_number": "435-243-5844",
            "fax_number": "435-986-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13853257-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Alexander Clark
• Justin Clark
• Nikaysa Clark
• Nikki Clark
• Randy R Clark, M.D.
• Stephen E Clark, DO
• Ralph L Clarke, PHARM D.
• Clarus Consultants LLC (Andrus Vision Center)
• Classic Norway, PLLC (Satori Health and Wellness)
• Chris Clayton

• Clinical Social Worker in St George, UT
• Providers in St George, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.