Provider Demographics
NPI:1992693618
Name:BOWES, SAMANTHA DOROLEE-WILLIAMS (MSW)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:DOROLEE-WILLIAMS
Last Name:BOWES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ONE MILE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO JUNCTION
Mailing Address - State:VA
Mailing Address - Zip Code:24529-4604
Mailing Address - Country:US
Mailing Address - Phone:434-738-8551
Mailing Address - Fax:
Practice Address - Street 1:290 ONE MILE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO JUNCTION
Practice Address - State:VA
Practice Address - Zip Code:24529-4604
Practice Address - Country:US
Practice Address - Phone:434-738-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060165811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical