Clark G. Bridge, LCSW
NPI 1245558576ActiveIndividual· Social Worker· Charlotte, NC
Social Worker (LCSW) in Charlotte, North Carolina, licensed in NC, with an NPI issued in May 2010. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1245558576 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | May 11, 2010 |
| Last updated in NPPES | Jul 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | C008932 | NC |
| Social Worker, Clinical | 1041C0700X | C008932 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NC) |
|---|
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