Individual provider · Type 1 NPI

Tamika Shantai Clark, LMSW

School Social Worker · Largo, MD

NPI number 1902625916 Active

Practice location

1330 Mccormick Dr.
Largo, MD 20774

Mailing address

9614 Grandhaven Ave
Upper Marlboro, MD 20772-5268

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XG13108 (MD)

School Social Worker: Definition to come...

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About NPI 1902625916

Tamika Shantai Clark, LMSW's National Provider Identifier is 1902625916, issued on Oct 7, 2024. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Largo, MD. The record was last updated on Oct 7, 2024.