Provider Demographics
NPI:1457612616
Name:CLARKE, YESHE RICHMAN (MSW, LCSW-C, CT)
Entity Type:Individual
Prefix:MRS
First Name:YESHE
Middle Name:RICHMAN
Last Name:CLARKE
Suffix:
Gender:F
Credentials:MSW, LCSW-C, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11311 MCCORMICK RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1004
Mailing Address - Country:US
Mailing Address - Phone:443-849-8337
Mailing Address - Fax:443-849-8238
Practice Address - Street 1:11311 MCCORMICK RD
Practice Address - Street 2:SUITE 350
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1004
Practice Address - Country:US
Practice Address - Phone:443-849-8337
Practice Address - Fax:443-849-8238
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical