Organization Active NPI

Millicent Clarkson LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1710570528
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MILLICENT CLARKSON LCSW-C
Practice address
406 W Pennsylvania Ave Ste 103
Towson, MD 21204-4275
Phone
(443) 353-9884
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Ms. Millicent Clarkson, LCSW-CNPI 1366863615
Title
Founder
Phone
(443) 353-9884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

406 W Pennsylvania Ave Ste 103
Towson, MD 21204-4275

Mailing address

821 S Bouldin St
Baltimore, MD 21224-4024
Phone (410) 967-6241

National Provider Directory

National Provider Directory

Locations

406 W Pennsylvania Ave
Ste 103
Towson, MD 21204
Phone (443) 353-9884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1710570528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S BOULDIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244024",
            "telephone_number": "410-967-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W PENNSYLVANIA AVE STE 103",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044275",
            "telephone_number": "443-353-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLICENT CLARKSON LCSW-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "443-353-9884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.