Black, Samantha
Black, Samantha is an individual health care provider with primary practice located at 2594 Trailridge Dr E , Lafayette CO 80026-3186. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Black, Samantha can be contacted via phone (303) 499-7740.Contact Information
Primary practice address
2594 Trailridge Dr E
Lafayette CO 80026-3186
Phone: (303) 499-7740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 00001431 | Colorado |
Profile Details
| NPI number | 1043987233 |
|---|---|
| LBN Legal business name | Black, Samantha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2021 |
| Last updated | Aug 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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