Provider Demographics
NPI:1821313537
Name:ANDREWS, SAMANTHA MARIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:MARIE
Last Name:ANDREWS
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 1:8705 SHOAL CREEK BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-6802
Mailing Address - Country:US
Mailing Address - Phone:517-204-4892
Mailing Address - Fax:512-323-5535
Practice Address - Street 1:8705 SHOAL CREEK BLVD
Practice Address - Street 2:STE 108
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6802
Practice Address - Country:US
Practice Address - Phone:517-204-4892
Practice Address - Fax:512-323-5535
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53860104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker