Healthcare Provider Details

I. General information

NPI: 1447172242
Provider Name (Legal Business Name): SAMANTHA ANN AKINS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 ACLAND BLVD
BALLSTON SPA NY
12020-3079
US

IV. Provider business mailing address

582 ACLAND BLVD
BALLSTON SPA NY
12020-3079
US

V. Phone/Fax

Practice location:
  • Phone: 845-649-6040
  • Fax:
Mailing address:
  • Phone: 845-649-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103420-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: