Provider Demographics
NPI:1770007932
Name:HILL, SAMANTHA MCDONALD (LCSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MCDONALD
Last Name:HILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:MCDONALD
Other - Last Name:COMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1026 WORTHY STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70736
Mailing Address - Country:US
Mailing Address - Phone:225-450-6616
Mailing Address - Fax:225-450-6615
Practice Address - Street 1:1026 E WORTHY ST STE A
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4300
Practice Address - Country:US
Practice Address - Phone:225-450-6616
Practice Address - Fax:225-450-6615
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1041C0700XMedicaid