Suzanne Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10663 Issued in FL

Practice address

12216 Panama City Beach Pkwy Ste D
Panama City Beach, FL 32407-2728

Phone

(850) 655-7090

NPI assigned

Oct 16, 2012

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1851644819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12216 PANAMA CITY BEACH PKWY STE D",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072728",
            "telephone_number": "850-655-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 PANAMA CITY BEACH PKWY STE D",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072728",
            "telephone_number": "850-655-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Lynn Christensen, MPT
• Jessica Lynn Clark, MD
• Payson Elizabeth Clifford
• Coastal Counseling PCB, LLC
• Coastal Family Practice & Acute Care Center LLC
• Coastal Internal Medicine, LLC
• Coastal Tides Surgical Center, LLC

• Clinical Social Worker in Panama City Beach, FL
• Providers in Panama City Beach, 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 Apr 2, 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.