Samantha Hazelwood
Social Worker, Clinical in Hurlburt Field, FL. Individual provider (NPI-1).
NPI number1962342998
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1962342998
- Entity type
- Individual (NPI-1)
- Name
- Samantha Hazelwood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2026
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ISW22900 | FL | Yes |
Practice location
542 Harrison DrHurlburt Field, FL 32544-1099
Phone 417-631-9797
Mailing address
542 Harrison DrHurlburt Field, FL 32544-1099
Phone 417-631-9797
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Clinical Social Worker providers in Hurlburt Field · All 284 providers in Hurlburt Field
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