NICOLE CLARK LCSW
NPI 1801404025
Social Worker - Clinical in Durham, NC

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1801404025. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Nicole Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 July 14, 2020PECOS Enrolled

2530 MERIDIAN PKWY STE 115, DURHAM, NC 27713(704) 360-3637 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2025, Feb 15, 2023, Dec 23, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Nicole Clark Lcsw NPPES

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

NICOLE CLARK LCSW (NPI 1801404025) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C017796) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gastonia.

NPPES Registry Identity

NPI1801404025

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE CLARKCredential: LCSW

Location Address2530 MERIDIAN PKWY STE 115Durham, NC 27713-5273

Mailing Address2530 Meridian Pkwy Ste 115Durham, NC 27713-5273 · (704) 360-3637

Phone(704) 360-3637

Sole ProprietorNo

Enumeration DateJuly 14, 2020

Last NPPES UpdateApril 16, 20254 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1801404025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C017796

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.

2530 MERIDIAN PKWY STE 115, Durham, NC 27713

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Secondary Practice Location 1

Location 1609 S New Hope Rd Ste 102Gastonia, NC 28054-4825 · Phone (704) 412-2403

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Clark 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 Nicole Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Solutions, PLLC

113 mi

Psychologist

122 GATEWAY BLVD STE C
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
197 clinicians in this Medicare group

NPI 1447760871 (704) 360-3637

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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.

Other Providers at the Same Location NPPES 15

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

DR. LINDSAY UNDERWOOD PSY.D.

Psychologist