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

Michelle Randall Clark, LCSW

Individual provider Clinical Social Worker · NPI 1649903295

Michelle Randall Clark, LCSW is a Clinical Social Worker in Athens, Georgia. Qualified in 1996, 30 years ago. Practices with University Cancer and Blood Center LLC, a 63-clinician group, works from 4 locations and accepts Medicare assignment.

Years since qualifying
30
In the registry since
2022
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

3320 Old Jefferson Rd Bldg 800
Athens, GA 30607-1400
Phone: (706) 353-2990
Fax: (706) 353-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4182 Highway 278 Ne, Covington, GA 30014-2494 — (678) 712-6921
  • 119 Harmony Xing Ste 1, Eatonton, GA 31024-9571 — (762) 220-1880
  • 355 Clear Creek Pkwy Ste 2007, Lavonia, GA 30553-4271 — (706) 356-2934

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1649903295
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice University Cancer And Blood Center Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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