Provider Demographics
NPI:1033866512
Name:OAMI, SAMANTHA GLUCK (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:GLUCK
Last Name:OAMI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 SHERIDAN ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3624
Mailing Address - Country:US
Mailing Address - Phone:954-593-0510
Mailing Address - Fax:
Practice Address - Street 1:3860 SHERIDAN ST STE C
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3624
Practice Address - Country:US
Practice Address - Phone:954-593-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical