Individual provider · Type 1 NPI

Samantha Lei Clark, LCSWA

Clinical Social Worker · Grover, NC

NPI number 1336865708 Active

Practice location

206 Carolina Ave
Grover, NC 28073-9551

Fax (704) 297-4646

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016966 (NC)

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 1336865708

Samantha Lei Clark, LCSWA's National Provider Identifier is 1336865708, issued on Oct 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grover, NC. The record was last updated on Nov 3, 2025.