Ms. Vivian Audrey Clark is a Charlotte, North Carolina based counselor with 17 years of experience in Counselor. She completed her graduation from Other in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Vivian Audrey Clark is C009292 for Social Worker in North Carolina. Her current practice location is 1935 J N Pease Pl Ste 101, Charlotte. Patients can book an appointment with her at 704-907-8242.
Ms. Vivian Audrey Clark is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Ms. Vivian Audrey Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ms. Vivian Audrey Clark
Specialization:
Counselor
Gender:
Female
Credentials:
LCSW,LISW-CP
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Accepts Medicare Assignment:
Yes
Practice Address:
1935 J N Pease Pl Ste 101, Charlotte, North Carolina, 28262
Phone:
704-907-8242
Fax:
704-973-0694
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022314426
Enrollment ID:
I20160310002257
NPI Number:
1811229362
NPI Enumeration Date:
09 Feb, 2010
NPI Last Update On:
08 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Vivian Audrey Clark are as mentioned below.
License Number
Specialization
State
Status
C009292
Social Worker
North Carolina
Primary
SW.11115CP
Social Worker
South Carolina
Secondary
2850-A
Addiction (Substance Use Disorder) Counselor
North Carolina
Secondary
Social Worker
Secondary
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1935 J N Pease Pl Ste 101, Charlotte, North Carolina
Zip:
28262-4541
Phone Number:
704-907-8242
Fax Number:
704-973-0694
Patients can reach Ms. Vivian Audrey Clark at 1935 J N Pease Pl Ste 101, Charlotte, North Carolina or can call to book an appointment on 704-907-8242. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.