Samantha Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18383 Issued in FL

Practice address

4918 N Habana Ave
Tampa, FL 33614-6815

Phone

(866) 762-1743

Fax

(727) 816-1222

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of South Florida College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.clarklcsw@direct.mybaycare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1225312549
  Medicare reassignment Care Compare group NPD
• Baycare Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trinity, FL
  • NPI 1437431467
  NPD
• Baycare Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1801611132
  NPD
• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1114295680
  NPD (past)
• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1508864521
  NPD (past)
• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dade City, FL
  • NPI 1831451137
  NPD (past)
• Behavioral Health Management Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
  • NPI 1720540578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1215505706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146815",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.Clarklcsw@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4918 N Habana Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336146815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa D. Clark, PA C
• Michael E Clark, PH.D.
• Nataly Milagros Clark
• Nicolette M Clark, MD
• Nina Clark
• Stephanie Clark, LMHC
• Stephanie Ann Clark, RD, LD/N
• Timothy G Clark, CRNA
• Vanessa Clark
• Mercedes Renee Clarke-Wright, LMFT

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.