Samantha Clarkson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00945002 Issued in WV

Practice address

165 Scott Ave
Morgantown, WV 26508-8839

Phone

(304) 292-1716

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Florence Crittenton Services Inc.

  • Mental Health Counselor
  • Morgantown, WV
  • NPI 1265651970
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1922592013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088839",
            "telephone_number": "304-292-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265088839",
            "country_code": "US",
            "telephone_number": "304-292-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265088839",
            "country_code": "US",
            "telephone_number": "304-292-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265088839",
            "country_code": "US",
            "telephone_number": "304-292-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00945002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Clark
• Meghan Elizabeth Clark, FNP-C
• Rebecca Marie Clark, LPN
• Mary Ann Clarke, CRNA
• Cynthia Clark Clarkson, M.D.
• Paul L Clausell, M.D.
• Jennifer Elizabeth Clawges
• John David Clawges III
• Cierra Clay
• Morgan Claypool, LPN

• All providers in Morgantown, WV
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.