Clark, Samantha
Clark, Samantha is an sole proprietor health care provider with primary practice located at 14 E Grafton Rd Ste C , Fairmont WV 26554-4465. 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 can be contacted via phone (304) 366-5832.Contact Information
Primary practice address
14 E Grafton Rd Ste C
Fairmont WV 26554-4465
Phone: (304) 366-5832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 138525 | Pennsylvania |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | BP00946604 | West Virginia |
Profile Details
| NPI number | 1477214898 |
|---|---|
| LBN Legal business name | Clark, Samantha |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2022 |
| Last updated | Jul 17th, 2023 - about 2 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.
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