Provider Demographics
NPI:1710567771
Name:HATFIELD, SAMANTHA IVEY (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:IVEY
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 W COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:BATESBURG LEESVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29006-2028
Mailing Address - Country:US
Mailing Address - Phone:803-532-4452
Mailing Address - Fax:
Practice Address - Street 1:338 W COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:BATESBURG LEESVILLE
Practice Address - State:SC
Practice Address - Zip Code:29006-2028
Practice Address - Country:US
Practice Address - Phone:803-532-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13650101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health