Shannon Barbara Clarke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017710 Issued in VA

Practice address

10530 Linden Lake PLZ Ste 200
Manassas, VA 20109-6434

Phone

(703) 496-7804

NPI assigned

Dec 9, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Counseling Services of Northern Virginia

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1649506940
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1912713538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 LINDEN LAKE PLZ STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201096434",
            "telephone_number": "703-496-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 LINDEN LAKE PLZ STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201096434",
            "telephone_number": "703-496-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "SHANNON",
        "middle_name": "BARBARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiarra Clark-Shivers
• Alexandra Marie Clark, FNP
• Alexis K Clark, M.S.
• Cynthia Marie Clark, LCSW
• Kara Janelle Clark
• Jhesenia Claros
• Claudia'S Compassion Elderly Care LLC
• Claumond Collective Living
• Joseph Michael Clem, BCBA, LBA
• Adrian Clements

• Clinical Social Worker in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.