Candice Clark
Individual provider Active NPI Personal Care Attendant · Brandywine, MD
NPI 1033049028 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1033049028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3902 Briggs Run Way
Brandywine, MD 20613-6040 - Phone
- (202) 873-4402
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
3902 Briggs Run Way
Brandywine, MD 20613-6040
Mailing address
3902 Briggs Run Way
Brandywine, MD 20613-6040
Phone (202) 873-4402
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- Daniel Chukwuebuka Chukwuemeka
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- Samantha Codes
- Roosevelt Collier III
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All providers in Brandywine, MD · Personal Care Attendant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.