Clark, Samantha D

Clark, Samantha D is an sole proprietor health care provider with primary practice located at 809 Lamont St , Johnson City TN 37604-5453. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Samantha D can be contacted via phone (423) 335-0863.

Contact Information

Primary practice address
809 Lamont St Johnson City TN 37604-5453
Phone: (423) 335-0863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000010976 Tennessee

Profile Details

NPI number 1982176483
LBN Legal business name Clark, Samantha D
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2018
Last updated Mar 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers