Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Shantel Clark, LCPC

Individual provider Mental Health Counselor · NPI 1114798683

Alisha Shantel Clark, LCPC is a Mental Health Counselor in Parkville, Maryland. Qualified in 2023, 3 years ago. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

9613 Harford Rd Ste 3
Parkville, MD 21234-2150
Phone: (410) 714-0775
Fax: (443) 380-2886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC17223 (MD)

Record details

NPI number1114798683
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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