SAMANTHA D CLARK LMSW
NPI 1982176483
Social Worker in Johnson City, TN

Q: What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1982176483. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2018

809 LAMONT ST, JOHNSON CITY, TN 37604(423) 335-0863 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2019, Dec 20, 2018 (2 updates tracked since 2018).

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About Samantha D Clark Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA D CLARK LMSW (NPI 1982176483) is an individual social worker in Johnson City, Tennessee, licensed in Tennessee (LSW0000010976) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1982176483

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSAMANTHA D CLARKCredential: LMSW

Location Address809 LAMONT STJohnson City, TN 37604-5453

Mailing Address809 Lamont StJohnson City, TN 37604-5453 · (423) 926-1171

Phone(423) 335-0863

Sole ProprietorYes

Enumeration DateDecember 20, 2018

Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration

✔ NPI 1982176483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in TN · LSW0000010976

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

809 LAMONT ST, Johnson City, TN 37604

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Other Providers at the Same Location NPPES 20

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