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

Shirley Clark, P-LCSW

Individual provider Social Worker · NPI 1043460173

Shirley Clark, P-LCSW is a Clinical Social Worker in Ahoskie, North Carolina. Qualified in 2006, 20 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2008

Practice location Address checks out

1313 First St W
Ahoskie, NC 27910-8842
Phone: (252) 209-8932
Fax: (252) 209-8933
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence P003721 (NC)

Record details

NPI number1043460173
Entity typeIndividual (Type 1)
GenderFemale
Credentials P-LCSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESSeptember 25, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Ahoskie