Active NPI
Claudia Clark, LCPC
- Professional Counselor
- Sparks, MD
National Provider Identifier
1801332648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC11081
- Practice address
- 3 Kampman CT
Sparks, MD 21152-9423 - Phone
- (410) 207-8886
- NPI assigned
- Jan 18, 2017
- Last updated
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | XL4810 | ME | |
| Professional Counselor | 101YP2500X | LC11081 | MD | Primary |
Addresses
Primary practice location
3 Kampman CT
Sparks, MD 21152-9423
Mailing address
3 Kampman CT
Sparks, MD 21152-9423
Phone (410) 207-8886
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 |
|---|---|---|---|
| XL4810 | ME | MD | Mental Health Counselor |
| LC11081 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1801332648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KAMPMAN CT",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529423",
"telephone_number": "410-207-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 KAMPMAN CT",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529423",
"telephone_number": "410-207-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "CLAUDIA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4810",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC11081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.