Vivian Clark, LCSW,LISW-CP
NPI 1811229362 · Clinical Social Worker · Charlotte, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivian Clark, LCSW,LISW-CP is a Clinical Social Worker provider in Charlotte, NC (NPI 1811229362).
Provider details
- NPI number
- 1811229362
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW,LISW-CP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW.11115CP (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10211 Meridale Crossing DrCharlotte, NC 28269-7367Phone: (704) 907-8242Fax: (704) 973-0694
Registry dates
- Enumerated
- 2010-02-09
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Vivian Clark's NPI number?
- Vivian Clark's National Provider Identifier (NPI) is 1811229362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vivian Clark's specialty?
- Vivian Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Vivian Clark located?
- Vivian Clark's practice location on file with NPPES is 1935 J N Pease Pl Ste 101, Charlotte, NC 28262.
- What is Vivian Clark's phone number?
- The practice phone number listed in the NPPES registry for Vivian Clark is (704) 907-8242.
- Does Vivian Clark accept Medicare?
- Vivian Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vivian Clark's NPI active?
- Yes — Vivian Clark's NPI (1811229362) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.