Active NPI
Veronica Marie Clark-George
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1881966208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014450
- Practice address
- 301 McCullough Dr
Suite 400
Charlotte, NC 28262-3310 - Phone
- (704) 400-1971
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C018648 | NC | |
| Clinical Social Worker | 1041C0700X | P014450 | NC | Primary |
Addresses
Primary practice location
301 McCullough Dr
Suite 400
Charlotte, NC 28262-3310
Mailing address
721 Hydrangea Cir NW
Concord, NC 28027-7258
Phone (704) 615-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529000160 | NC | Practitioner - Clinical Social Worker | 2961972179 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C018648 | NC | MD | Clinical Social Worker |
| P014450 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LRC Vision of Hope LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Ottumwa, IA
- NPI 1376232090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1881966208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 HYDRANGEA CIR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277258",
"telephone_number": "704-615-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCCULLOUGH DR",
"address_2": "SUITE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623310",
"telephone_number": "704-400-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK-GEORGE",
"first_name": "VERONICA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C018648",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.