Clarke, Samantha K

Clarke, Samantha K is an individual health care provider with primary practice located at 113 Elm St Ste 204 , Enfield CT 06082-3739. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Clarke, Samantha K can be contacted via phone (860) 741-3001.

Contact Information

Primary practice address
113 Elm St Ste 204 Enfield CT 06082-3739
Phone: (860) 741-3001
Fax: (086) 741-8332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 002170 Connecticut

Profile Details

NPI number 1306103445
LBN Legal business name Clarke, Samantha K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Apr 13th, 2012 - about 13 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

Identifiers

StateTypeNumberIssuer
All States NPI 1306103445 NPPES
Connecticut Other A412956 OXFORD
Connecticut Other 4553929 OXFORD
Connecticut Other 201366 OXFORD
Connecticut MEDICAID 004121141 OXFORD
Connecticut Other 321137/A324839 OXFORD

Popular Providers