MR. HERMAN CLARK LCAS-A
NPI 1144550005
Counselor - Mental Health in Charlotte, NC

Q: What is Herman Clark's NPI number?

The NPI number for Herman Clark is 1144550005. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Q: What is Herman Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Herman Clark was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2009

6614 FAWN VIEW DRIVE, CHARLOTTE, NC 28216(704) 564-8981 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Herman Clark Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. HERMAN CLARK LCAS-A (NPI 1144550005) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1144550005

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. HERMAN CLARKCredential: LCAS-A

Location Address6614 FAWN VIEW DRIVECharlotte, NC 28216

Mailing Address6614 Fawn View DrCharlotte, NC 28216-4847 · (704) 564-8981

Phone(704) 564-8981

Sole ProprietorYes

Enumeration DateDecember 28, 2009

Last NPPES UpdateMay 7, 2014

✔ NPI 1144550005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3196-A (NC)

6614 FAWN VIEW DRIVE, Charlotte, NC 28216

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Herman Clark's NPI number?

The NPI number for Herman Clark is 1144550005. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Where is Herman Clark located?

Herman Clark practices at 6614 Fawn View Drive, Charlotte, NC 28216. The listed phone number is (704) 564-8981.

What is Herman Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Herman Clark was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.