Individual provider · Type 1 NPI

Shamia Clark, LCPC

Mental Health Counselor · Baltimore, MD

NPI number 1104615921 Active

Practice location

3608 Old York Rd
Baltimore, MD 21218-2546

Call (443) 455-0786 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC15913 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1104615921

Shamia Clark, LCPC's National Provider Identifier is 1104615921, issued on May 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Sep 11, 2025.