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MS. VIVIAN AUDREY CLARK LCSW,LISW-CP
NPI 1811229362
Social Worker - Clinical in Charlotte, NC

Active since February 09, 2010PECOS EnrolledAccepts Medicare Assignment
1935 J N PEASE PL STE 101, CHARLOTTE, NC 28262(704) 907-8242(704) 973-0694 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2023, Aug 3, 2022, Sep 20, 2021 and 3 more (6 updates tracked since 2018).

About Ms. Vivian Audrey Clark Lcsw,lisw-cp NPPES

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

MS. VIVIAN AUDREY CLARK LCSW,LISW-CP (NPI 1811229362) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C009292) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1811229362
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. VIVIAN AUDREY CLARKCredential: LCSW,LISW-CP
Location Address1935 J N PEASE PL STE 101Charlotte, NC 28262
Mailing Address1935 J N Pease Pl Ste 101Charlotte, NC 28262-4541 · (704) 907-8242 · Fax (704) 973-0694
Phone(704) 907-8242
Fax(704) 973-0694
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 9, 2010
Last NPPES UpdateAugust 8, 20236 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1811229362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C009292✔ Licensed in SC · SW.11115CP
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2850-A (NC)
1935 J N PEASE PL STE 101, Charlotte, NC 28262
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Secondary Practice Location 1

Location 110211 Meridale Crossing DrCharlotte, NC 28269-7367 · Phone (704) 907-8242 · Fax (704) 973-0694

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Vivian Audrey Clark Lcsw,lisw-cp 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 ID8022314426
PECOS Enrollment IDI20250408000315
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 Reassignments

3

Medicare enrollment records show Vivian Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Continuum Care Services, Inc.
9.1 mi
Community/Behavioral Health
10150 MALLARD CREEK RD STE 101
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1194074286 (704) 510-2662
Choice Unlimited, LLC
11 mi
Clinical
5835 PROSPERITY CROSSING DR STE 111
Charlotte, NC 28269
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1790419869 (704) 807-5591
Capitolhill Consortium For Counseling & Consultation, LLC
330 mi
Mental Health (Including Community Mental Health Center)
650 PENNSYLVANIA AVE SE, STE 440
Washington, DC 20003
  • Reassigned Medicare billing, District of Columbia enrollment
  • 42 clinicians in this Medicare group
NPI 1992965552 (202) 544-5440

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 28262 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 2

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

JASMINE LEE-HENSHAW BA QP
Case Manager/Care Coordinator
1935 J N PEASE PL STE 101
CHARLOTTE, NC 28262
Mecklenburg County (919) 807-1090
ARISE DESTINY LLC
Community/Behavioral Health
1935 J N PEASE PL STE 101
CHARLOTTE, NC 28262
Mecklenburg County (704) 907-8242

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 Vivian Clark's NPI number?

The NPI number for Vivian Clark is 1811229362. It was assigned to this individual provider in the NPPES registry on February 9, 2010.

Where is Vivian Clark located?

Vivian Clark practices at 1935 J N Pease Pl Ste 101, Charlotte, NC 28262. The listed phone number is (704) 907-8242.

What is Vivian Clark's specialty?

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

Is Vivian Clark enrolled in Medicare?

Yes. Vivian 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.

Which organizations bill Medicare for Vivian Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Clark reassigns Medicare benefits to 3 organizations: Continuum Care Services, Inc. (Charlotte, NC), Choice Unlimited, LLC (Charlotte, NC) and Capitolhill Consortium For Counseling & Consultation, LLC (Washington, DC). Each 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 Vivian Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Clark accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Vivian 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 Vivian Clark was last updated on August 8, 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.