Maxwell, Samantha Jo

Maxwell, Samantha Jo is an individual health care provider with primary practice located at 2703 W State St , New Castle PA 16101-8671. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Maxwell, Samantha Jo can be contacted via phone (724) 657-3303.

Contact Information

Primary practice address
2703 W State St New Castle PA 16101-8671
Fax: (724) 657-3326
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW127264 Pennsylvania

Profile Details

NPI number 1386875870
LBN Legal business name Maxwell, Samantha Jo
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Aug 9th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386875870 NPPES
Other 251830792 INTERGROUP CORP
Other 12766634 INTERGROUP CORP

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