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

Dr. Paul G Clark, LCSW

Individual provider Clinical Social Worker · NPI 1174893945

Dr. Paul G Clark, LCSW is a Clinical Social Worker in Black Mountain, North Carolina. Graduated from Virginia Commonwealth University, School of Medicine in 2008, 18 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida and Virginia.

Years since qualifying
18
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
FL, VA
In the registry since
2012
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

1 Gold Leaf Walk Way
Black Mountain, NC 28711-2804
Phone: (703) 740-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904-001362 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW0002836 (FL)

Record details

NPI number1174893945
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 10, 2012
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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