Provider Demographics
NPI:1932359957
Name:CLINTON, LOIS ANN (MSW)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:ANN
Last Name:CLINTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2311
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21404-2311
Mailing Address - Country:US
Mailing Address - Phone:888-626-2273
Mailing Address - Fax:202-328-7775
Practice Address - Street 1:10123 CONNECTUCUT AVE.
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:202-320-5571
Practice Address - Fax:202-328-7775
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD097701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical