Arjah Ci'Anna Clark, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P023364 Issued in NC

Practice address

1760 E Dixon Blvd
Shelby, NC 28152-6948

Phone

(704) 480-9344

Fax

(704) 482-8494

NPI assigned

Jan 15, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD (past)
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shelby, NC
  • NPI 1871209866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1023976164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SECOND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526948",
            "telephone_number": "704-480-9344",
            "fax_number": "704-482-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ARJAH",
        "middle_name": "CI'ANNA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children-N-Motion, Inc
• Children'S Homes of Cleveland County
• Chiropractic Physicians of the Carolinas
• Choice Med, Inc.
• Claddaugh Home Care Inc
• Savanna Spence Clark, BA
• Paul A Claroni, PA
• Melody Ann Clary, FNP-C
• Carolyn K Clatfelter, MA LPC
• John William Claytor Jr., D.D.S.

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.