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

Marion A Lake, LCSW

Individual provider Clinical Social Worker · NPI 1922555705

Marion A Lake, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
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

3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone: (704) 329-1300
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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 C014791 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1922555705
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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