SHAMIA CLARK LCPC NPI 1104615921

NPI Information

  • NPI: 1104615921
  • Provider Name: SHAMIA CLARK, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3608 OLD YORK RD
    BALTIMORE, MD
    ZIP 21218
  • Phone: (443) 455-0786

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NPI Details

Shamia Clark, LCPC is a mental health counselor in Baltimore, MD. Shamia Clark, LCPC NPI is 1104615921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3608 OLD YORK RD
BALTIMORE, MD
ZIP 21218-546
Phone: (443) 455-0786

The NPI 1104615921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/6/2025 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLC15913MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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