MISS SAMANTHA JEANINE CLARK (NPI# 1871154443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871154443 |
| Entity Type | Individual |
| Full Name | MISS SAMANTHA JEANINE CLARK |
| Credential | MS, COUNSELING PSYCH |
| Practice Address |
2621 Oswell St Ste 119 Bakersfield CA 93306-3172 |
| Practice Telephone | 6618686750 |
| Mailing Telephone | 6618686750 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 999031549 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | KERN BEHAVIORAL HEALTH AND RECOVERY SERVICES | 999031549 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593462 | Samantha Clark | Student in an Organized Health Care Education/Training Program | 182 Chickasaw Trl, Pontotoc, MS 38863-8857 | 2020-09-18 |
| 1285268177 | Samantha Fay Clark | Behavior Technician | 990d Klamath Ln, Yuba City, CA 95993-8961 | 2020-02-28 |
| 1225525298 | Samantha R Clark | Case Manager/Care Coordinator | Juneau County Dept. of Human Services, 200 Hickory Street, Mauston, WI 53948-2101 | 2018-04-16 |
| 1699186841 | Samantha Clark | Obstetrics & Gynecology | 224 W Exchange St Ste 420, Akron, OH 44302-1718 | 2014-05-09 |
| 1225636442 | Samantha Clark | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2020-10-09 |
| 1902430630 | Samantha Clark | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2020-03-03 |
| 1366081036 | Samantha Clark | Case Manager/Care Coordinator | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2019-12-30 |
| 1144869900 | Samantha Jane Clark | Pharmacist | 330 Pine Tree Rd, Ithaca, NY 14850-2819 | 2019-12-26 |
| 1548816630 | Samantha Clark | Occupational Therapist | 1797 King Ave, Kings Mills, OH 45034-1721 | 2019-08-14 |
| 1902460710 | Samantha Leigh Clark | Specialist | 9 Vose Farm Rd Ste 120, Peterborough, NH 03458-2154 | 2019-04-26 |
| Street Address |
2621 OSWELL ST STE 119 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720105760 | Christine Aimee Rosant | Marriage & Family Therapist | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2007-03-23 |
| 1174139737 | Elida T Stewart | Counselor | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2020-09-18 |
| 1386254688 | Jason Edward Bernardo | Marriage & Family Therapist | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2020-08-03 |
| 1861023426 | Maria Herrera | Student in an Organized Health Care Education/Training Program | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2020-01-31 |
| 1720620420 | Maria Carmen Medrano | Nurse's Aide | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-10-14 |
| 1912549023 | Gissel Viridiana Leper | Case Manager/Care Coordinator | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-10-09 |
| 1457903825 | Wendy Nunez | Case Manager/Care Coordinator | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-07-15 |
| 1902468010 | Sukhjeet K Babbar | Registered Nurse | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-06-28 |
| 1134780893 | Ryan John Adams | Case Manager/Care Coordinator | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-06-24 |
| 1174080808 | Jessica R Reyes | Counselor | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293611 | Kenneth Toran Wiley Jr. | Marriage & Family Therapist | 7615 Indian Gulch St, Bakersfield, CA 93313-4337 | 2020-10-22 |
| 1740896257 | Artisa Mae Moten | Marriage & Family Therapist | 1429 Libra Ct, Bakersfield, CA 93309-3808 | 2020-09-20 |
| 1700496247 | Thomas Carter Crocker | Marriage & Family Therapist | 6420 Easter Lily Ct, Bakersfield, CA 93313-6008 | 2020-08-07 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1720623184 | Yessica Avancena, Lmft Corp | Marriage & Family Therapist | 1701 Westwind Dr Ste 111, Bakersfield, CA 93301-3045 | 2019-11-08 |
| 1811556749 | Nancy Lee Keller | Marriage & Family Therapist | 2025 Westwind Dr Ste A, Bakersfield, CA 93301-3036 | 2019-06-13 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1689132904 | Nadia Perez | Marriage & Family Therapist | 1430 Truxtun Ave Ste 200, Bakersfield, CA 93301-5248 | 2019-03-05 |
| 1831671726 | Katherine Anne Graves | Marriage & Family Therapist | 2200 Quincy Dr, Bakersfield, CA 93306-4036 | 2018-09-06 |
| 1598243883 | Fernando Garcia IIi | Marriage & Family Therapist | 2535 16th St Ste 205, Bakersfield, CA 93301-3417 | 2018-07-30 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
Please comment or provide details below to improve the information on MISS SAMANTHA JEANINE CLARK.
| 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.