Individual
SAMANTHA BYNUM BALL
Active
Individual
SAMANTHA BYNUM BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
2360
NH
1041C0700X
Clinical Social Worker
78117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78117
BOARD OF BEHAVIORAL SCIENCES
CA
01
—
LICSW2360
NH BOARD OF MENTAL HEALTH
NH
Enumeration date
09/11/2012
Last updated
05/28/2026
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