Individual
TIFFANY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(304) 738-9691
Mailing address
570 EISENHOWER DR, FREDERICK, MD 21703-8415
(304) 616-7761
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
32567
MD
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
01/12/2026
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