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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC12631 | MD | MD | Professional Counselor |
| LGP11186 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminescence LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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- John Henry Adkins Jr.
- Latasha Adkins
- Quiana Adkins
- Newton F Adkinson
- Aaron Bradley Adkisson
All providers in Baltimore, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.