Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavon Jo Clark

Individual provider Mental Health Counselor · NPI 1568984060

Lavon Jo Clark is a Clinical Social Worker in Miami, Oklahoma. Qualified in 2017, 9 years ago. Registered with an NPI since 2017.

Years since qualifying
9
In the registry since
2017

Practice location Address checks out

111 S Treaty Rd
Miami, OK 74354-5327
Phone: (918) 540-1511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1568984060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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