Provider Profile

Mickie Clark, COTA

Unclaimed Profile

About Mickie Clark

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Specialty

Credentials & Licensing

IL license057005371
NPI1588579874
NPI issued08/19/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Mickie Clark's address?

Mickie Clark is listed at 512 W Morgan St, Jacksonville, IL 62650. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Mickie Clark?

The number on file is (618) 705-0451. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Mickie Clark's NPI number?

Mickie Clark's National Provider Identifier is 1588579874. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Mickie Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Mickie Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.