Steven Shia Clark, LMSW,,ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801013007 Issued in MI

Practice address

223 Gratiot CT
Saginaw, MI 48602-1865

Phone

(989) 598-5039

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Saginaw Valley Centers, Inc

  dba DOT Caring Centers, Inc

  • Clinic/Center
  • Owosso, MI
  • NPI 1174716914
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1801079686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GRATIOT CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021865",
            "telephone_number": "989-598-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GRATIOT CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021865",
            "telephone_number": "989-598-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STEVEN",
        "middle_name": "SHIA",
        "credential": "LMSW,,ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Arthur Clark
• Megan Clark
• Michelle Clark
• Robert Clark, BSW
• Sara Clark, RN
• Claudia Zacharek MD PLC
• James Clay
• Staci Ann Clay
• Angel Clayton
• Alexandra Clemens

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.