Emily Claire Clark, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006146 Issued in NC

Practice address

800 Eastowne Dr
Suite 200
Chapel Hill, NC 27514-2299

Phone

(919) 490-5503

Fax

(919) 490-5805

NPI assigned

Jan 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1891025102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EASTOWNE DR",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142299",
            "telephone_number": "919-490-5503",
            "fax_number": "919-490-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EASTOWNE DR",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142299",
            "telephone_number": "919-490-5503",
            "fax_number": "919-490-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1203",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Clark-Garvey, M.D.
• Alicia Kohn Clark
• Angela Scott Clark, PHARMD
• Anne Clark
• Candice Pike Clark, N.P.
• Hollins Peel Clark, MD
• Jennifer Selleck Clark, FNP-C
• Jonathan Clark
• Karen Harrell Clark, M.D.
• Leslie Horn Clark, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, 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 8, 2010; 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.