Carolyn Ann Clark, LPC, NCC, NCSC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

11245 Issued in NC

Practice address

100 E Hearne St
Albemarle, NC 28001-5831

Phone

(704) 983-3916

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By the provider in NPPES

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

Practice roles

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

• Act Medical Group PA

  • Specialist
  • Wilmington, NC
  • NPI 1245219799
  NPD (past)
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1730367954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CHANNING CIR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278528",
            "telephone_number": "704-785-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HEARNE ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015831",
            "telephone_number": "704-983-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "11245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe' Christian, PTA
• CHS Pharmacy Services Inc (Atrium Health Pharmacy Albemarle)
• Sandra Lorena Cifuentes
• Ana Liza Margarita Cisneros-Howard, MSW, LCSW
• Claudia Viola Claiborne, MD
• Jane S. Clark, COTA/L
• Rebecca Dianne Clay, RPH
• Clearer Minds Counseling and Consulting PLLC
• Judy Cline, LCSW
• CMC-Northeast, Inc. (Northeast Oncology Associates, Alb)

• Case Management Agency in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.