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

Shamia Clark, LCPC

Individual provider Mental Health Counselor · NPI 1104615921

Shamia Clark, LCPC is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2022, 4 years ago. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2025
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3608 Old York Rd
Baltimore, MD 21218-2546
Phone: (443) 455-0786
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 LC15913 (MD)

Record details

NPI number1104615921
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address3608 Old York Rd, Baltimore, MD 21218-2546

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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