SearchFlorida1041C0700X

Samantha Clark, LCSW

NPI 1215505706 · on the registry since 2021 · sole proprietor

Practice

Address
4918 N Habana Ave
Tampa, FL 33614
Phone
(866) 762-1743
Fax
(727) 816-1222
Clinicians at this address
7

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida