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CLARK G. BRIDGE LCSW
NPI 1245558576
Social Worker in Charlotte, NC

Active since May 11, 2010PECOS Enrolled
3541 RANDOLPH RD, STE 206, CHARLOTTE, NC 28211(704) 381-8336 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2018).

About Clark G. Bridge Lcsw NPPES

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

CLARK G. BRIDGE LCSW (NPI 1245558576) is an individual social worker in Charlotte, North Carolina, licensed in North Carolina (C008932) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1245558576
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameCLARK G. BRIDGECredential: LCSW
Location Address3541 RANDOLPH RD, STE 206Charlotte, NC 28211-1082
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-8336
Sole ProprietorNo
Enumeration DateMay 11, 2010
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
✔ NPI 1245558576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NC · C008932
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C008932 (NC)
3541 RANDOLPH RD, Charlotte, NC 28211
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Secondary Practice Location 1

Location 13541 Randolph Rd, Ste 210Charlotte, NC 28211-1082 · Phone (704) 381-8336

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark G. Bridge Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Clark Bridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Medical Center
Same address
Professional
3541 RANDOLPH RD, STE 206
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1942539010 (704) 381-8336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANASTASHIA NATASHA BROWN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
JENNIFER MANNING THOMAS PHD
Psychologist
3541 RANDOLPH RD, STE 206
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
KATHLEEN HOGAN WHITE PT, DPT, CSCS
Physical Therapist
3541 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 323-2520
ROBERT CUSTRINI PH.D.
Psychologist (Clinical)
3541 RANDOLPH RD, SUITE 102
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-0960
JULIE KATHLEEN CAMPBELL LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
NELAN LLC
Pharmacy (Community/Retail Pharmacy)
3541 RANDOLPH RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-0707
TYLER MARIE SINGLETON LCSW
Social Worker
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
ROZIE ANNA KHASHMANIAN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336

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 Clark Bridge's NPI number?

The NPI number for Clark Bridge is 1245558576. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Clark Bridge located?

Clark Bridge practices at 3541 Randolph Rd Ste 206, Charlotte, NC 28211. The listed phone number is (704) 381-8336.

What is Clark Bridge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Clark Bridge enrolled in Medicare?

Yes. Clark Bridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clark Bridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Bridge reassigns Medicare benefits to Carolinas Medical Center (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clark Bridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clark Bridge accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 2 other insurers list Clark Bridge 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 Clark Bridge was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.