Cailey Erin Clarke, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015318 Issued in NC

Practice address

151 Desoto TRL
Sylva, NC 28779-6308

Phone

(828) 586-8958

Fax

(828) 586-0649

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Appalachian Counseling and Psychological Services

  • Psychologist
  • Asheville, NC
  • NPI 1578961116

  Clinical

  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1225637069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LIVINGSTON ST STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014400",
            "telephone_number": "828-707-4473",
            "fax_number": "828-236-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DESOTO TRL",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287796308",
            "telephone_number": "828-586-8958",
            "fax_number": "828-586-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CAILEY",
        "middle_name": "ERIN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P015318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Childers, PMHNP-BC
• Moon S Choi - Chung, MD
• Keith H Christensen
• Dustin Pierce Clark, PHARMD
• Asia Nicole Clarke, MS, CCC-SLP
• Denita Clendenin
• Clifford H. Mault, D.O., P.a.
• CNC Access Inc
• CNC Access Inc
• CNC Access Inc

• Clinical Social Worker in Sylva, NC
• Providers in Sylva, 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 Oct 22, 2020; 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.