Individual
DR. CLINTON JARED LEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6400 BALTIMORE NATIONAL PIKE STE 170A-168, CATONSVILLE, MD 21228-3930
(410) 703-6784
(443) 498-9431
Mailing address
6400 BALTIMORE NATIONAL PIKE STE 170A-168, CATONSVILLE, MD 21228-3930
(410) 703-6784
(443) 498-9431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
05951
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05951
LICENSED PSYCHOLOGIST
MD
Enumeration date
06/27/2017
Last updated
08/18/2025
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