Alexandria Clark

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2614492 Issued in OH

Practice address

4510 Collins Blvd Ste 2
Ashtabula, OH 44004-6954

Phone

(866) 534-2639

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1851118376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 COLUMBUS AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043547",
            "telephone_number": "440-813-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD STE 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "866-534-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E State St Ste D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011870",
            "country_code": "US",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2614492",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Ashtabula Ohio
• City of Ashtabula Ohio
• Susan Rita Ciufo, CNP/APRN
• Heather Clark-Pizon
• Abigail Louise Clark
• Madelyn Grace Clark, OTR/L
• Jade Clay
• Lilly Claycomb
• Stephanie L Claypool, COTA/L
• Paul Anthony Clemens, RPH, PHARMD

• Social Worker in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.