SAMUEL LINCOLN CLARK


Address: 120 Maple St, Springfield, MA 01103-2203
Phone: 4137373730

SAMUEL LINCOLN CLARK (NPI# 1104301530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104301530
Entity Type Individual
Full Name SAMUEL LINCOLN CLARK
Practice Address 120 Maple St
Springfield
MA 01103-2203
Practice Telephone 4137373730
Practice Fax Number 4137371748
Mailing Telephone 4137373730
Mailing Fax Number 4137371748
Enumeration Date 2018-10-02
Last Update Date 2018-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers SAMUEL CLARK

NPI Name Taxonomy Address Enumeration
1265742001 Samuel P. Clark Counselor 1218 Nw 6th Street, Gainesville, FL 32601 2010-10-14
1326269804 Samuel Edward Clark Specialist 17 South Central Av., Idabel, OK 74745-4625 2007-05-01
1811903800 Samuel Kent Clark Chiropractor 2402 New Holt Rd, Paducah, KY 42001-7455 2006-07-31
1134631260 Samuel Reese Clark Counselor 705 W La Veta Ave Ste 208, Orange, CA 92868-4448 2017-10-30
1285983247 Samuel Jason Clark Physician Assistant 1 Pinckney Blvd, Beaufort, SC 29902-6122 2012-09-06
1720245673 Samuel Clark Registered Nurse 729 Mass Ave, Boston, MA 02118-2318 2008-05-19
1346391752 Samuel David Clark Pediatrics 120 Hillcrest Medical Blvd, Suite 200, Waco, TX 76712-8948 2007-01-13
1689611709 Samuel J. Clark Internal Medicine 1940 El Cajon Blvd, San Diego, CA 92104-1005 2006-05-31
1073506036 Samuel T Clark II Family Medicine 4400 N 32nd St, Ste 110, Phoenix, AZ 85018-3953 2005-08-25

Office Location

Street Address 120 MAPLE ST
City SPRINGFIELD
State MA
Zip Code 01103-2203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588286660 Karen Ann Barron Social Worker 120 Maple St, Springfield, MA 01103-2203 2020-05-12
1619509122 Arleen Edmee Pizarro Counselor 120 Maple St, Springfield, MA 01103-2203 2020-02-12
1770125411 Bianca I Mensah Counselor 120 Maple St, Springfield, MA 01103-2203 2019-10-15
1417507898 Hannah Liggett Counselor 120 Maple St, Springfield, MA 01103-2203 2019-09-17
1497302905 Danielle Stratton Counselor 120 Maple St, Springfield, MA 01103-2203 2019-08-20
1740835586 Keith Edward Dodds Counselor 120 Maple St, Springfield, MA 01103-2203 2019-08-08
1013482082 Hanna Kathleen Homan Counselor 120 Maple St, Springfield, MA 01103-2203 2018-10-05
1902305089 Brenda Zambrana Counselor 120 Maple St, Springfield, MA 01103-2203 2018-02-05
1073012159 Rafael Ramos Counselor 120 Maple St, Springfield, MA 01103-2203 2018-02-05
1982119368 Jessenia Rios-ramos Counselor 120 Maple St, Springfield, MA 01103-2203 2017-12-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1003325010 Amber Lynn Chisholm Counselor 130 Maple St., Springfield, MA 01103 2017-09-21
1750737391 Mande' Counseling Community/Behavioral Health 1365 Main St Suite 401, Springfield, MA 01103 2016-05-13
1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
1114326113 Anne Marie Belinda Nurse Practitioner 1049 Main St., Springfield, MA 01103 2014-08-15
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1548675093 Jessica Lynn Pasalacqua Dietitian, Registered 870 Main St., Springfield, MA 01103 2014-06-24
1003220443 Ivan Rosario Counselor 1695 Main St Ste400, Springfield, MA 01103 2014-06-13
1275964769 Leeandrew Rick Wilson Counselor 1695 Main St., Springfield, MA 01103 2013-12-09
Find all providers in zip 01103

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427672815 Jana Lynn Purington Counselor 155 Maple St Ste 107, Springfield, MA 01105-1828 2020-06-02
1861015224 Laurie N Tackett Counselor 255 Glenmore Dr, Springfield, OH 45503-3305 2020-05-20
1457993412 Ardavis & Associates, LLC Counselor 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 2019-10-11
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1861057457 Janer Hernandez Counselor 77 Bevier St, Springfield, MA 01107-1316 2019-05-08
1013470608 Aracelis Ruiz Counselor 1108 Carew St, Springfield, MA 01104-2026 2019-04-10
1619432481 Beth Reilly Counselor 57 Duryea St, Springfield, MA 01104-3105 2019-02-06
1023582699 Barbara Ruth Pascoe Counselor 8020 Greeley Blvd, Springfield, VA 22152-3001 2019-01-17
1275000309 Sara Thompson Counselor 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 2018-10-26
1902305402 Stan Dwane Buford Counselor 3734 South Ave Ste C, Springfield, MO 65807-5291 2018-02-09
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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