1144966714 NPI number — AMANDA LYNE CLARK LMSW

Table of content: AMANDA LYNE CLARK LMSW (NPI 1144966714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144966714 NPI number — AMANDA LYNE CLARK LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLARK
Provider First Name:
AMANDA
Provider Middle Name:
LYNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JACKSON
Provider Other First Name:
AMANDA
Provider Other Middle Name:
LYNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144966714
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30391 PINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCESS ANNE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21853-1343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-330-6009
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4703 OLD SOPER RD STE R1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP SPRINGS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20746-4030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-249-0989
Provider Business Practice Location Address Fax Number:
240-256-8887
Provider Enumeration Date:
05/06/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  21240 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)