MR. CHARLIE CLEMONS JR. LCAS-A
NPI 1376094904
Counselor - Addiction (Substance Use Disorder) in Greensboro, NC

Q: What is Charlie Clemons's NPI number?

The NPI number for Charlie Clemons is 1376094904. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Q: What is Charlie Clemons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Charlie Clemons was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 19, 2016

709 E MARKET ST STE 100B, GREENSBORO, NC 27401(336) 378-0109 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Charlie Clemons Jr. Lcas-a NPPES

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

MR. CHARLIE CLEMONS JR. LCAS-A (NPI 1376094904) is an individual addiction (substance use disorder) provider in Greensboro, North Carolina, licensed in North Carolina (LCAS-20133) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1376094904

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. CHARLIE CLEMONS JR.Credential: LCAS-A

Location Address709 E MARKET ST STE 100BGreensboro, NC 27401-3282

Mailing Address181 Virginia AveDanville, VA 24541-3761 · (336) 259-0272

Phone(336) 378-0109

Sole ProprietorNo

Enumeration DateOctober 19, 2016

✔ NPI 1376094904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · LCAS-20133

709 E MARKET ST STE 100B, Greensboro, NC 27401

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Other Providers at the Same Location NPPES 3

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

BETH GAMBRELL LCASA

Counselor (Addiction (Substance Use Disorder))

709 E MARKET ST STE 100B
GREENSBORO, NC 27401

Guilford County (336) 378-0109

STEP BY STEP CARE, INC

Non-emergency Medical Transport (VAN)

709 E MARKET ST STE 100B
GREENSBORO, NC 27401

Guilford County (336) 378-0109

KRISTINA D ROBINSON

Counselor

709 E MARKET ST STE 100B
GREENSBORO, NC 27401

Guilford County (336) 378-0109

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 Charlie Clemons's NPI number?

The NPI number for Charlie Clemons is 1376094904. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Charlie Clemons located?

Charlie Clemons practices at 709 E Market St Ste 100B, Greensboro, NC 27401. The listed phone number is (336) 378-0109.

What is Charlie Clemons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charlie Clemons was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.