Individual
SAMANTHA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
1845 N FARWELL AVE STE 218, MILWAUKEE, WI 53202-1715
(414) 215-9910
Mailing address
1845 N FARWELL AVE STE 218, MILWAUKEE, WI 53202-1715
(414) 215-9910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131898121
WI
1041C0700X
Clinical Social Worker
12813-123
WI
Other
Enumeration date
12/06/2021
Last updated
03/28/2026
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