Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jasmine Joanne Moore-Clark, LCSW

Individual provider Clinical Social Worker · NPI 1295365740

Mrs. Jasmine Joanne Moore-Clark, LCSW 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
2020
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

9711 David Taylor Drve Ste 213
Charlotte, NC 28262-3310
Phone: (980) 875-7079
Fax: (980) 500-0158
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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 C012828 (NC)

Record details

NPI number1295365740
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

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