Marlon Richard Tinker, LCSWC, CAC-AD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13822 Issued in MD

Practice address

6600 York Road
Suite 109a
Baltimore, MD 21212-2028

Phone

(410) 689-8757

NPI assigned

Dec 17, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1053640284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 YORK ROAD",
            "address_2": "SUITE 109A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122028",
            "telephone_number": "410-689-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK ROAD",
            "address_2": "SUITE 109A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122028",
            "telephone_number": "410-689-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKER",
        "first_name": "MARLON",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCSWC, CAC-AD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC1591",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324303600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Donavan Tindol, RN
• Claire Tindula, NP-C
• Meaghan Tine, LCSW-C
• Sarah Tinelli
• James Ting, MD
• Ashley Katherine Tinney, D.O.
• Francis John Tinney Jr., M.D.
• Quintae Tinnin
• Olivia Tinong
• Latoya Christina Tinsley

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.