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

Michael Clark, LCSWA

Individual provider Clinical Social Worker · NPI 1023765435

Michael Clark, LCSWA is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

3126 Milton Rd Ste 232
Charlotte, NC 28215-3782
Phone: (704) 930-0680
Fax: (855) 655-2688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P017249 (NC)

Record details

NPI number1023765435
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 5, 2022
Certification dateMarch 5, 2022

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