MARION A LAKE LCSW
NPI 1922555705
Social Worker - Clinical in Charlotte, NC

Q: What is Marion Lake's NPI number?

The NPI number for Marion Lake is 1922555705. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Q: What is Marion Lake'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 Marion Lake was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 September 08, 2016

3506 W TYVOLA RD, CHARLOTTE, NC 28208(704) 329-1300 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Apr 23, 2024 (2 updates tracked since 2024).

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About Marion A Lake Lcsw NPPES

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

MARION A LAKE LCSW (NPI 1922555705) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C014791) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1922555705

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARION A LAKECredential: LCSW

Location Address3506 W TYVOLA RDCharlotte, NC 28208-7201

Mailing Address5520 Keltonwood Rd Apt 2208Charlotte, NC 28278-7030 · (980) 785-1500

Phone(704) 329-1300

Sole ProprietorNo

Enumeration DateSeptember 8, 2016

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1922555705 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

License✔ Licensed in NC · C014791

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

3506 W TYVOLA RD, Charlotte, NC 28208

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Accepted Insurance

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

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.

DR. DAVID AARON RUDD D.O.

Internal Medicine (Infectious Disease)