Provider Demographics
NPI:1043107659
Name:VOSS, SAMANTHA (LCSQ)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:VOSS
Suffix:
Gender:F
Credentials:LCSQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3725
Mailing Address - Country:US
Mailing Address - Phone:812-283-2802
Mailing Address - Fax:
Practice Address - Street 1:1319 MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3726
Practice Address - Country:US
Practice Address - Phone:812-283-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34010674A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical