Lewin, Clinton Jared
Lewin, Clinton Jared is an sole proprietor health care provider with primary practice located at 839 Elkridge Landing Rd Ste 211 , Linthicum MD 21090-2946. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lewin, Clinton Jared can be contacted via phone (410) 703-6784.Contact Information
Primary practice address
839 Elkridge Landing Rd Ste 211
Linthicum MD 21090-2946
Phone: (410) 703-6784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 05951 | Maryland |
Profile Details
| NPI number | 1194245589 |
|---|---|
| LBN Legal business name | Lewin, Clinton Jared |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2017 |
| Last updated | Dec 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194245589 | NPPES |
| Maryland | Other | 05951 | LICENSED PSYCHOLOGIST |
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