Samantha D Clark, LMSW
Social Worker in Johnson City, TN. Individual provider (NPI-1).
NPI number1982176483
StatusActive
Last updated in NPPESMar 18, 2019
Details
- NPI
- 1982176483
- Entity type
- Individual (NPI-1)
- Name
- Samantha D Clark
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2018
- Last updated
- Mar 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LSW0000010976 | TN | Yes |
Practice location
809 Lamont StJohnson City, TN 37604-5453
Phone 423-335-0863
Mailing address
809 Lamont StJohnson City, TN 37604-5453
Phone 423-926-1171
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All 54 Social Worker providers in Johnson City · All 4,629 providers in Johnson City
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