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Individual
SAMANTHA BURGOS
Active
Individual
SAMANTHA BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
010825
CT
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
216119
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
016564
CT
Other
Enumeration date
05/11/2017
Last updated
03/17/2026
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