Samantha Prochnow, ACSW
Social Worker, Clinical in Long Beach, CA. Individual provider (NPI-1).
NPI number1316675697
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1316675697
- Entity type
- Individual (NPI-1)
- Name
- Samantha Prochnow
- Credential
- ACSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2022
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 103845 | CA | Yes |
Practice location
2801 Atlantic AveLong Beach, CA 90806-1701
Phone 562-933-2000
Mailing address
396 Terraine AveLong Beach, CA 90814-1914
Phone 562-277-3080
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