Provider Demographics
NPI:1679288955
Name:SINCLAIR, DEVINO G (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DEVINO
Middle Name:G
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:DEVINO
Other - Middle Name:G
Other - Last Name:SINCLAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1370 BRASS MILL RD # 297-4100
Mailing Address - Street 2:
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1211
Mailing Address - Country:US
Mailing Address - Phone:410-297-4100
Mailing Address - Fax:
Practice Address - Street 1:1370 BRASS MILL RD
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1211
Practice Address - Country:US
Practice Address - Phone:410-297-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD264501041C0700X, 1041C0700X
MDMD264501041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool