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

Skylor Maxx Clark, LCSWA

Individual provider Clinical Social Worker · NPI 1699489922

Skylor Maxx Clark, LCSWA is a Clinical Social Worker in Fuquay Varina, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1117 Kauri Cliffs Dr
Fuquay Varina, NC 27526-3830
Phone: (336) 504-4090
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 P016832 (NC)

Record details

NPI number1699489922
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

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