Diamond Clinton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021069 Issued in NC

Practice address

8212 Village Harbor Dr
Cornelius, NC 28031-3706

Phone

(980) 397-5265

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mind Changing Solutions, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1407358203

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1912648478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 VILLAGE HARBOR DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313706",
            "telephone_number": "980-397-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 VILLAGE HARBOR DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313706",
            "telephone_number": "980-397-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "DIAMOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Truss Clark
• Clearwater Counseling and Consulting PLLC
• Jackee Ijeoma Clement, MD
• Clementine Holistic Healing for Women '
• Ryan C Clifford, MA, LMFT
• Cobblestone Counseling Center, PLLC
• Shaniqua Cobbs
• Hannah Coffee
• Cohesive Counseling Services, PLLC
• Gina Marie Coldren, DO

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, 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 Apr 23, 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.