Provider Demographics
NPI:1144066713
Name:HERR, SAMANTHA HEATHER (LMSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:HEATHER
Last Name:HERR
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 1:300 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SUDLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21668-1503
Mailing Address - Country:US
Mailing Address - Phone:410-482-9148
Mailing Address - Fax:410-479-8397
Practice Address - Street 1:300 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:SUDLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21668-1503
Practice Address - Country:US
Practice Address - Phone:410-482-9148
Practice Address - Fax:410-479-8397
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD316581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical