Samantha Andersen, LSW
Individual provider Active NPI Social Worker · Maxwelton, WV
NPI 1508246307 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1508246307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- AP00944134 (WV)
- Practice address
- 804 Industrial Park Rd Ste 1
Maxwelton, WV 24957-8066 - Phone
- (304) 497-0500
- Fax
- (304) 497-0516
- NPI assigned
- Jun 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00944134 | WV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00944134 | WV | Yes |
Addresses
Primary practice location
804 Industrial Park Rd Ste 1
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd Ste 1
Maxwelton, WV 24957-8066
Phone (304) 497-0500
Other providers in Maxwelton, WV
- Anita Acord
- Christina M Albert
- Amber Denise Altizer
- Madison Ayers
- Grace Ayres
- Jerrald Wayne Barker
- Susan Ann Barker
- Christine Barnett
All providers in Maxwelton, WV · Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.