Clara Adkins, PHD, LCPC

Individual provider Active NPI Professional Counselor · Baltimore, MD

NPI 1972195022 · NPPES record last updated Apr 28, 2022

Key facts

NPI
1972195022
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC12631 (MD)
Practice address
414 Light St
Baltimore, MD 21202-1251
Phone
(202) 695-2144
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC12631MDMDProfessional Counselor
LGP11186MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminescence LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP11186 MD
Professional Counselor 101YP2500X LC12631 MD Yes

Addresses

Primary practice location

414 Light St
Baltimore, MD 21202-1251

Mailing address

414 Light St
Baltimore, MD 21202-1251
Phone (202) 695-2144

Other providers in Baltimore, MD

All providers in Baltimore, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.