Healthcare Provider Details

I. General information

NPI: 1881573293
Provider Name (Legal Business Name): SAMANTHA SUZANNE STEELE-GODLEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA SUZANNE STEELE

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 W SOUTHERN AVE
APACHE JUNCTION AZ
85120-7456
US

IV. Provider business mailing address

2426 E CARLA VISTA DR
GILBERT AZ
85295-9148
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-1110
  • Fax:
Mailing address:
  • Phone: 480-223-7325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: