Samantha Supernaw in Pflugerville - Clinical
Samantha Supernaw - NPI 1679797476
Samantha Supernaw is a Clinical in Pflugerville, Texas. Samantha Supernaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samantha Supernaw is 1679797476. The last update date is 2019-01-25.
Samantha Supernaw's current location address is 104 W Main St Ste E, Pflugerville, Texas. You can contact this provider via phone number 5129891152 and fax number 5129897567. The mailing address for Samantha Supernaw is 104 W Main St Ste E, Pflugerville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Supernaw |
|---|---|
| Address | 104 W Main St Ste E, Pflugerville, Texas |
| Phone Number | 5129891152 |
| Fax Number | 5129897567 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679797476 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | 104 W Main St Ste E |
|---|---|
| City | Pflugerville |
| State | Texas (TX) |
| Post Code | 786602775 |
| Phone Number | 5129891152 |
| Fax Number | 5129897567 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 29358 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 153118801 | TX | -- | |
| 153118802 | TX | -- |
Post Comment/ Review Below
What is the Samantha Supernaw's 1679797476?
The Samantha Supernaw's NPI (National Provider Identifier) Number is 1679797476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Samantha Supernaw is geographically located?
The Samantha Supernaw is physically situated at the following location: 104 W Main St Ste E, Pflugerville, TX, 786602775.
What is Samantha Supernaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samantha Supernaw's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1679797476 assigned to Samantha Supernaw?
The Samantha Supernaw was issued its 1679797476 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Samantha Supernaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Samantha Supernaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-25.
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