Healthcare Provider Details

I. General information

NPI: 1710457569
Provider Name (Legal Business Name): SAMANTHA VANBUSKIRK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA CULIN LSW

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 OREGON PIKE
LANCASTER PA
17601-6401
US

IV. Provider business mailing address

400 POND VISTA LN APT I
MANHEIM PA
17545-9818
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-9969
  • Fax:
Mailing address:
  • Phone: 302-668-6879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW022935
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: