MEDICARE: MS. SAMANTHA CLARK LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	DP00946604	WV
2	104100000X	Social Worker	138525	PA

General Provider Information

NPI Number	:	1477214898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAMANTHA CLARK LICSW

Provider Business Mailing Address
First Line	:	1005 WHITE WILLOW WAY
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-6119
Country	:	US
Telephone Number	:	304-513-3495
Fax Number	:	800-734-8498

Provider Business Practice Location Address
First Line	:	120 PROFESSIONAL PL STE 101
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-4599
Country	:	US
Telephone Number	:	304-513-3495
Fax Number	:	800-734-8498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	04/09/2026

Similar Medicare Providers

1962569491 — DENISE NOEL AMMONS MA, LSW, LPC, CCAC
Practice Location Address:

120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-513-3495
Practice Fax: 800-734-8498

1235377896 — DR. JAMES W LEONETTE D.C.
Practice Location Address:

130 PROFESSIONAL PL
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-933-9355
Practice Fax: 304-278-3348

1811240716 — ELIZABETH CALEF-BORING LCSW
Practice Location Address:

120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-396-8878
Practice Fax:

1083959803 — JILL NICOLE STRASSER MSN, APRN, FNP-BC
Practice Location Address:

120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-460-5123
Practice Fax: 800-734-8498

1326586553 — DR. STEVEN TODD SHOW D.C.
Practice Location Address:

130 PROFESSIONAL PL
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-933-9355
Practice Fax:

1356866818 — DR. MATTHEW DANIEL MASON DC
Practice Location Address:

130 PROFESSIONAL PL
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-933-9355
Practice Fax:

Directions to “ MS. SAMANTHA CLARK LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.