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

Clark G. Bridge, LCSW

Individual provider Social Worker · NPI 1245558576

Clark G. Bridge, LCSW is a Social Worker in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3541 Randolph Rd Ste 206
Charlotte, NC 28211-1082
Phone: (704) 381-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3541 Randolph Rd, Charlotte, NC 28211-1082 — (704) 381-8336

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C008932 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C008932 (NC)

Record details

NPI number1245558576
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 11, 2010
Last updated in NPPESJuly 15, 2024
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

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