Provider Demographics
NPI:1699570887
Name:MARCHANTE, SAMANTHA (LCSWA)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:MARCHANTE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 BORDELON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-3205
Mailing Address - Country:US
Mailing Address - Phone:951-970-4770
Mailing Address - Fax:
Practice Address - Street 1:110 BRANCHWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5919
Practice Address - Country:US
Practice Address - Phone:910-650-6926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0217691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical