Individual provider · Type 1 NPI
Michael Clark, LCSWA
Clinical Social Worker · Charlotte, NC
Practice location
3126 Milton Rd Ste 232
Charlotte, NC 28215-3782
Fax (855) 655-2688
Mailing address
8640 University City Blvd Ste A3153
Charlotte, NC 28213-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P017249 (NC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
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About NPI 1023765435
Michael Clark, LCSWA's National Provider Identifier is 1023765435, issued on Mar 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 5, 2022.