Ms Vivian Audrey Clark, LCSW,LISW-CP in Charlotte, NC - Medicare Clinical Social Worker Provider

Ms Vivian Audrey Clark, LCSW,LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1935 J N Pease Pl Ste 101, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 907-8242.

Ms Vivian Audrey Clark is licensed to practice in North Carolina (license number C009292) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811229362.

Contact Information

	Ms Vivian Audrey Clark, LCSW,LISW-CP
	1935 J N Pease Pl Ste 101, Charlotte, NC 28262
	(704) 907-8242
	(704) 973-0694

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Vivian Audrey Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	1935 J N Pease Pl Ste 101, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Vivian Audrey Clark graduated from medical school in 2008

NPI Data:

NPI Number: 1811229362
Provider Enumeration Date: 02/09/2010
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8022314426
Enrollment ID: I20160310002257

Medical Identifiers

Medical identifiers for Ms Vivian Audrey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811229362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW.11115CP (South Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	2850-A (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	C009292 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Vivian Audrey Clark allows following entities to bill medicare on her behalf.

Entity Name	Continuum Care Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013105709 PECOS PAC ID: 6305989807 Enrollment ID: O20100205000424

Entity Name	Choice Unlimited, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790419869 PECOS PAC ID: 6507237294 Enrollment ID: O20230117000227

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Vivian Audrey Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Vivian Audrey Clark, LCSW,LISW-CP 1935 J N Pease Pl Ste 101, Charlotte, NC 28262-4541 Ph: (704) 907-8242	Ms Vivian Audrey Clark, LCSW,LISW-CP 1935 J N Pease Pl Ste 101, Charlotte, NC 28262 Ph: (704) 907-8242

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Ms Vivian Audrey Clark, LCSW,LISW-CP - Medicare Clinical Social Worker in Charlotte, NC