National Provider Identifier
Samantha Quackenbush, LMSW
Samantha Quackenbush, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 328-0834.
Profile Overview
- NPI
- 1114419884
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
Practice Location
- 1099 Jay St Ste 202
- Rochester, NY 14611-1153
Phone: (585) 328-0834
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1114419884
- Entity Type
- Individual
- Last Name
- Quackenbush
- First Name
- Samantha
- Credential
- LMSW
- Mailing Street Address
- 1099 Jay St Ste 202
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1153
- Mailing Country
- US
- Mailing Phone
- (585) 328-0834
- Practice Street Address
- 1099 Jay St Ste 202
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 328-0834
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)