Provider Demographics
NPI:1659241602
Name:DELOY, SAMANTHA ROSE (LSW)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ROSE
Last Name:DELOY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 W QUEEN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ANNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17003-1725
Mailing Address - Country:US
Mailing Address - Phone:605-366-9358
Mailing Address - Fax:
Practice Address - Street 1:746 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5236
Practice Address - Country:US
Practice Address - Phone:717-304-2631
Practice Address - Fax:570-581-8089
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW143171104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker