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DR. PAUL G CLARK LCSW
NPI 1174893945
Social Worker - Clinical in Black Mountain, NC

Active since January 10, 2012PECOS EnrolledAccepts Medicare Assignment
1 GOLD LEAF WALK WAY, BLACK MOUNTAIN, NC 28711(703) 740-0095 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul G Clark Lcsw NPPES

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

DR. PAUL G CLARK LCSW (NPI 1174893945) is an individual clinical provider in Black Mountain, North Carolina, licensed in Virginia (0904-001362) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2008).

NPPES Registry Identity

NPI1174893945
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. PAUL G CLARKCredential: LCSW
Location Address1 GOLD LEAF WALK WAYBlack Mountain, NC 28711-2804
Mailing Address4400 University DrFairfax, VA 22030-4422 · (703) 993-2737
Phone(703) 740-0095
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2008
Enumeration DateJanuary 10, 2012
Last NPPES UpdateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1174893945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904-001362✔ Licensed in FL · SW0002836
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 GOLD LEAF WALK WAY, Black Mountain, NC 28711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul G Clark Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446512214
PECOS Enrollment IDI20230802003758
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Paul Clark's NPI number?

The NPI number for Paul Clark is 1174893945. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Paul Clark located?

Paul Clark practices at 1 Gold Leaf Walk Way, Black Mountain, NC 28711. The listed phone number is (703) 740-0095.

What is Paul Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Clark enrolled in Medicare?

Yes. Paul Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Clark accept?

Health plans from UnitedHealthcare list Paul Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.