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Salary / Clinical Director / North Carolina

Clinical Director salary in North Carolina

What Clinical Director roles are advertised at, and the North Carolina factors that change the number.

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How much does a Clinical Director earn in North Carolina?

Clinical Director roles we recruit across the US are advertised at roughly $105k – $165k, typically $105k entry, $130k mid-career and $165k at senior or supervisory level. In North Carolina, where an individual offer lands inside that range is driven by licensure, setting, caseload and local cost of living rather than a state-wide average. Rapid multi-site ABA and pediatric therapy expansion, with clinical director searches growing faster than clinician searches.

What changes a Clinical Director offer in North Carolina

LCMHC, LCSW and LMFT are separately licensed, with associate routes available.
Setting: Multi-site ABA providers, Community mental health organizations, Pediatric therapy groups price differently for the same credential.
Caseload cap and billable or productivity target, which decide whether a bonus is real.
Metro cost of living within the state; a city premium is not the same as a better offer.
Scarcity: Growing fast as private-equity-backed and multi-site providers professionalize. The hardest part is finding clinicians who can lead without losing clinical credibility.

Why we do not publish a NC average

We publish what we actually see advertised on roles we recruit. We do not hold a statistically valid state-level survey, so quoting a North Carolina average would be guesswork dressed as data. For official state wage estimates, use the federal source and treat it as a floor for negotiation, not a target.

BLS state occupational wage data

Last reviewed August 2026.

Live Clinical Director roles in North Carolina

No live Clinical Director roles in North Carolina right now. Tell us your license status and target setting and we will contact you when the next North Carolina search opens.

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All Clinical Director jobs National Clinical Director salary guide North Carolina market and licensure

Clinical Director pay in other states

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Hiring Clinical Directors in North Carolina

Pay is the last thing that fixes a stalled search

These are retained-style searches: small candidate pool, high confidentiality, and a real cost to getting it wrong.

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