Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA CLARK
DeactivatedSAMANTHA CLARK is a Clinical Social Worker healthcare provider located in BOSTON, Massachusetts. NPI 1205563590 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · BOSTON, MA
This NPI has been deactivated.
The record was deactivated on December 2, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205563590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2022 (3.3260273972603 yrs)
- Last Updated
- Jan 2, 2026
- Deactivated
- Dec 2, 2025
- Licenses
-
228287 (MA)25562 (ME)1142183 (MA)
Practice Information
- Address
-
575 BOYLSTON ST STE 2BOSTON, MA, 021163607Browse MA providers · Browse ZIP 02116
- Phone
- 6468375557
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES G MARTEL | L.I.C.S.W. | 1881690014 |
| KELLY FOURNIER | LICSW | 1750379780 |
| MR. ADAM GLICK | LICSW | 1134110489 |
| DR. AUDREY ADES | LICSW | 1144205675 |
| MS. LYNDA BETH SHUSTER | MSW, LICSW | 1497728232 |
| MS. MARY ANN SPARKS | MSW | 1053385740 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.