Active NPI
Liesel Elizabeth Clark
- Social Worker
- Frederick, MD
National Provider Identifier
1699561522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33901
- Practice address
- 1003 W 7TH Street
Suite 500
Frederick, MD 21701 - Phone
- (301) 345-1022
- Fax
- (301) 560-5558
- NPI assigned
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33901 | MD | Primary |
Addresses
Primary practice location
1003 W 7TH Street
Suite 500
Frederick, MD 21701
Mailing address
5820 York Road
Suite 202
Baltimore, MD 21212
Phone (301) 345-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33901 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1699561522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 YORK ROAD",
"address_2": "SUITE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21212",
"telephone_number": "301-345-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 7TH STREET",
"address_2": "SUITE 500",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21701",
"telephone_number": "301-345-1022",
"fax_number": "301-560-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LIESEL",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-17",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "33901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.