Mrs Samantha Lei Clark, LCSWA is a
Social Worker - Clinical based in Grover, North Carolina. Mrs Samantha Lei Clark is licensed to practice in North Carolina (license number P016966) and her current practice location is
206 Carolina Ave, Grover, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 476-8351.
NPI number for Mrs Samantha Lei Clark is 1336865708 and her current mailing address is 200 E 2nd Ave, Gastonia, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336865708.
Healthcare Provider's Profile
Full Name | Mrs Samantha Lei Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 206 Carolina Ave, Grover, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336865708
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 03/04/2025
Medical Identifiers
Medical identifiers for Mrs Samantha Lei Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336865708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P016966 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha Lei Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Samantha Lei Clark, LCSWA 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 703-7003 | Mrs Samantha Lei Clark, LCSWA 206 Carolina Ave, Grover, NC 28073-9551 Ph: (704) 476-8351 |
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