Davis, Samantha
Davis, Samantha is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Samantha can be contacted via phone (502) 953-4700.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212-1033
Phone: (502) 953-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 254979 | Kentucky |
Profile Details
| NPI number | 1265785224 |
|---|---|
| LBN Legal business name | Davis, Samantha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Aug 24th, 2020 - about 6 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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