NPI 1508246307 · live from the CMS NPI Registry
Samantha Andersen, LSW
Social Worker in Maxwelton, WV. National Provider Identifier 1508246307, active.
NPI record
| NPI | 1508246307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957 |
| Practice phone | 304-497-0500 |
| Enumerated | June 5, 2015 |
| Last updated | July 28, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | AP00944134 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.