SAMANTHA K CLARKE (NPI# 1306103445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306103445 |
| Entity Type | Individual |
| Full Name | SAMANTHA K CLARKE |
| Credential | LPC |
| Practice Address |
113 Elm St Ste 204 Enfield CT 06082-3739 |
| Mailing Address |
34 Welch Ave Windsor CT 06095-2935 |
| Practice Telephone | 8607413001 |
| Practice Fax Number | 0867418332 |
| Mailing Telephone | 8607413001 |
| Mailing Fax Number | 8607418332 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
002170 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004121141 | 05 | |
| CT | MNH | 201366 | 01 |
| CT | VALUE OPTIONS | 321137/A324839 | 01 |
| CT | OXFORD | A412956 | 01 |
| CT | AETNA | 4553929 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780068494 | Samantha Fennella Clarke | Licensed Practical Nurse | 15 Isabella Ave Apt 3r, Bayonne, NJ 07002-4373 | 2015-07-13 |
| 1407185713 | Samantha Louise Clarke | Social Worker | 9111 Jollyville Rd, Suite 210, Austin, TX 78759-7426 | 2009-12-15 |
| 1023624707 | Samantha Joann Clarke | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
| Street Address |
113 ELM ST STE 204 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295827475 | New Directions Inc. of North Central Conn. | Public Health or Welfare | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2006-09-28 |
| 1548710528 | Deborah Morgan Scott | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2016-10-13 |
| 1538536776 | New Directions Inc. | Community/Behavioral Health | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2015-08-24 |
| 1568722882 | Jennifer Jobert | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2012-05-21 |
| 1275899692 | George Mcgwaine Walker | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2012-04-10 |
| 1215215785 | Sandra L Jones | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2011-08-01 |
| 1215107099 | Christopher J Leary | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1770025843 | Morgan Suess | Counselor | 113 Elm St, Enfield, CT 06082-3700 | 2016-11-07 |
| 1548710528 | Deborah Morgan Scott | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2016-10-13 |
| 1134549454 | Kati-lynne Shaw | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2014-04-25 |
| 1073861977 | Louise P Halle | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2012-08-27 |
| 1275899692 | George Mcgwaine Walker | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2012-04-10 |
| 1215215785 | Sandra L Jones | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2011-08-01 |
| 1215107099 | Christopher J Leary | Counselor | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2008-03-07 |
| 1740472851 | Chris Ortiz | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2007-08-13 |
| Find all providers in ENFIELD | ||||
Please comment or provide details below to improve the information on SAMANTHA K CLARKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.