# SAMANTHA BIRTWELL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598176018
- **Gender:** F
- **Credential:** MA,BA,LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1736 | CT | Yes |

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 07/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008062567 | — | CT |
| 01 | — | 060669017 | UBH-OXFORD HEALTH/FREEDOM/LIBERTY WELLMORE GRP/FACILITY | CT |
| 01 | — | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | CT |
| 01 | — | 13584798 | CAQH | CT |
| 01 | — | ACTIVE MEMBER | AAMFT | CT |
| 01 | — | D339123 141 E MAIN | VALUE OPTIONS | CT |
| 01 | — | PENDING | MHN-MANAGED HEALTH NETWORK | CT |