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MRS. TINA CLARK LCPC
NPI 1194561092
Counselor - Professional in Woodlawn, MD

Active since July 01, 2024
1826 WOODLAWN DR STE 3, WOODLAWN, MD 21207(410) 800-2121 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jul 1, 2024 (2 updates tracked since 2024).

About Mrs. Tina Clark Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TINA CLARK LCPC (NPI 1194561092) is an individual professional provider in Woodlawn, Maryland, licensed in Maryland (LC16564) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1194561092
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TINA CLARKCredential: LCPC
Location Address1826 WOODLAWN DR STE 3Woodlawn, MD 21207-4050
Mailing Address909 Cooks Ln Apt 3bBaltimore, MD 21229-1285 · (443) 629-9985
Phone(410) 800-2121
Sole ProprietorYes
Enumeration DateJuly 1, 2024
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1194561092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC16564
1826 WOODLAWN DR STE 3, Woodlawn, MD 21207
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WANDA SAMUELS-JACKSON LMSW
Social Worker
1826 WOODLAWN DR STE 3
GWYNN OAK, MD 21207
Baltimore City (410) 800-2121
ALEXIS DANIELLE CAMPBELL LCPC, NCC
Counselor (Mental Health)
1826 WOODLAWN DR STE 3
WOODLAWN, MD 21207
Baltimore City (757) 913-0407
LAKESHA ROSS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1826 WOODLAWN DR STE 3
WOODLAWN, MD 21207
Baltimore City (443) 813-9961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Clark's NPI number?

The NPI number for Tina Clark is 1194561092. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Tina Clark located?

Tina Clark practices at 1826 Woodlawn Dr Ste 3, Woodlawn, MD 21207. The listed phone number is (410) 800-2121.

What is Tina Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tina Clark was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.