MEDICARE: SAMANTHA DENINE HEARD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	35450	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316118573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA DENINE HEARD LCSW

Provider Business Mailing Address
First Line	:	100 N CENTRAL EXPY
Second Line	:	SUITE #400-2
City	:	DALLAS
State	:	TX
Zip	:	75201-4312
Country	:	US
Telephone Number	:	214-760-9151
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N CENTRAL EXPY
Second Line	:	SUITE #400-2
City	:	DALLAS
State	:	TX
Zip	:	75201-4312
Country	:	US
Telephone Number	:	214-760-9151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	06/27/2025

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Directions to “ SAMANTHA DENINE HEARD LCSW” Practice Location

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