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

Dominique Clark

Individual provider Physician Assistant · NPI 1700255726

Dominique Clark is a Physician Assistant in Greenbelt, Maryland. Qualified in 2015, 11 years ago. Practices with Families First Counseling and Psychiatry LLC, a 26-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2015
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Practice location Address checks out

7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone: (301) 982-3437
Fax: (301) 982-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 174 Waterfront St, Oxon Hill, MD 20745-1154 — (301) 485-7400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0005875 (MD)

Record details

NPI number1700255726
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2015
Last updated in NPPESJuly 21, 2022
Certification dateDecember 10, 2019
Mailing address7474 Greenway Center Dr, Ste 700b, Greenbelt, MD 20770-3523

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Families First Counseling And Psychiatry Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Greenbelt