Manewitz, Samantha A
Manewitz, Samantha A is an individual health care provider with primary practice located at 288 Walnut St Ste 220, Newton MA 02460-1948. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Manewitz, Samantha A can be contacted via phone (617) 552-5116.Contact Information
Primary practice address
288 Walnut St Ste 220
Newton MA 02460-1948
Phone: (617) 552-5116
Fax: (617) 552-5117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 33006138A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34006979A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 118237 | Massachusetts |
Profile Details
| NPI number | 1073870481 |
|---|---|
| LBN Legal business name | Manewitz, Samantha A |
| Credentials | LICSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Apr 4th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073870481 | NPPES |
| Indiana | Other | 12647745 | CAQH ID |
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