Provider Demographics
NPI:1457019457
Name:PERKOWSKI, SAMANTHA MARGARET (LBSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARGARET
Last Name:PERKOWSKI
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7027
Mailing Address - Country:US
Mailing Address - Phone:864-770-5502
Mailing Address - Fax:
Practice Address - Street 1:10 BUCKINGHAM PLANTATION DR STE A
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6503
Practice Address - Country:US
Practice Address - Phone:843-757-9388
Practice Address - Fax:843-757-9385
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC140601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical