Individual provider · Type 1 NPI
Samantha Clark
Clinical Social Worker · Boston, MA
Practice location
575 Boylston St Ste 2
Boston, MA 02116-3607
Mailing address
755 Washington Street, Floating Building
Boston, MA 02111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 228287 (MA) |
| Clinical Social Worker | 1041C0700X | 25562 (ME) |
| Clinical Social Worker Primary | 1041C0700X | 1142183 (MA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1205563590
Samantha Clark's National Provider Identifier is 1205563590, issued on Aug 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jan 2, 2026.