Provider Demographics
NPI:1952140766
Name:PEHRINGER, SAMANTHA FAY (LMSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:FAY
Last Name:PEHRINGER
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 1:8723 CHERIE GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1279
Mailing Address - Country:US
Mailing Address - Phone:605-430-1768
Mailing Address - Fax:
Practice Address - Street 1:8723 CHERIE GROVE CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-1279
Practice Address - Country:US
Practice Address - Phone:605-430-1768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111693104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker