Samantha Carroll, CSW

Individual provider Active NPI Clinical Social Worker · Russell Springs, KY

NPI 1881247112 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1881247112
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW00001263 (KY)
Practice address
145 W Steve Wariner Dr
Russell Springs, KY 42642-4541
Phone
(606) 371-4160
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW00001263 KY Yes

Addresses

Primary practice location

145 W Steve Wariner Dr
Russell Springs, KY 42642-4541

Mailing address

145 W Steve Wariner Dr
Russell Springs, KY 42642-4541
Phone (606) 371-4160

Other providers in Russell Springs, KY

All providers in Russell Springs, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.