SAMANTHA D CLARK (NPI# 1982176483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982176483 |
| Entity Type | Individual |
| Full Name | SAMANTHA D CLARK |
| Credential | LMSW |
| Practice Address |
809 Lamont St Johnson City TN 37604-5453 |
| Practice Telephone | 4233350863 |
| Mailing Telephone | 4239261171 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW0000010976 | TN | Behavioral Health & Social Service Providers |
| 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 |
| 1871154443 | Samantha Jeanine Clark | Marriage & Family Therapist | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-06-25 |
| Street Address |
809 LAMONT ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403330 | Michele Garcia | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-10-08 |
| 1639786486 | Carmen Michelle Meadows | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-09-25 |
| 1124632831 | Mary Helen Fuqua | Recreation Therapist | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-09-01 |
| 1982215430 | Isaac Matthew Shepard Weaver | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-08-10 |
| 1861012627 | Amanda Shankel | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-04-22 |
| 1689206427 | Rachel Leann Stout-cunnyngham | Nurse Practitioner | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-02-10 |
| 1134772007 | Jacqueline Nicole Mccartt | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-07-19 |
| 1457911539 | Rebecca Holt | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-06-19 |
| 1891256897 | Anshuman Desai | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Department of Medicine, Johnson City, TN 37604 | 2019-03-31 |
| 1851851869 | Scott Gerwe | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082855 | Genessa Roberts | Social Worker | 3211 N Roan St, Johnson City, TN 37601-1213 | 2020-08-03 |
| 1265973531 | Abbey C Pelot | Social Worker | 139 Grand Ave, Johnson City, NY 13790-1675 | 2017-03-20 |
| 1215332507 | Alice Sounthala | Social Worker | 31 Avon St, Johnson City, NY 13790-1701 | 2014-10-29 |
| 1497178289 | Robin Marie Ledford | Social Worker | 2408 Susannah Street, Johnson City, TN 37601 | 2014-01-29 |
| 1134565765 | Kimberly Lynn Simerly | Social Worker | 1109 Skyline Dr Apt 4, Johnson City, TN 37604-3777 | 2013-05-22 |
| 1346540689 | Robin Hager Potter | Social Worker | 1507 E 11th Ave, Johnson City, TN 37601-2720 | 2010-11-02 |
| 1013245497 | Kemper Scott Rasnake | Social Worker | 1615 W Market St Ste A, Johnson City, TN 37604-4904 | 2009-11-24 |
| 1972740512 | Julia Shawn Swink | Social Worker | 2208 Marion Dr, Johnson City, TN 37601-9288 | 2009-01-20 |
| 1497957989 | David J Clovsky | Social Worker | 270 Riverside Drive #201, Johnson City, NY 13790-2741 | 2007-06-05 |
| 1689714651 | Kristen Mir | Social Worker | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601-1754 | 2007-02-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| 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.