CHANNING CLARK LCPC
NPI 1306388293
Counselor - Mental Health in Columbia, MD

Active since November 09, 2016
4806 TEAL WING CT, 104, COLUMBIA, MD 21045(301) 254-9608 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Nov 9, 2016 (2 updates tracked since 2016).

About Channing Clark Lcpc NPPES

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

CHANNING CLARK LCPC (NPI 1306388293) is an individual mental health provider in Columbia, Maryland, licensed in Maryland (LCPC7470) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1306388293
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHANNING CLARKCredential: LCPC
Location Address4806 TEAL WING CT, 104Columbia, MD 21045-2120
Mailing Address8101 Sandy Spring Rd Ste 300Laurel, MD 20707-3596 · (410) 564-6893
Sole ProprietorNo
Enumeration DateNovember 9, 2016
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1306388293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LCPC7470
4806 TEAL WING CT, Columbia, MD 21045

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 Channing Clark's NPI number?

The NPI number for Channing Clark is 1306388293. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Channing Clark located?

Channing Clark practices at 4806 Teal Wing Ct 104, Columbia, MD 21045. The listed phone number is (301) 254-9608.

What is Channing Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Channing Clark was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.