Healthcare Provider Details

I. General information

NPI: 1306247143
Provider Name (Legal Business Name): SAMANTHA HUNSICKER LCSW, M.ED., PMH-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 POTTSTOWN PIKE # 394
WEST CHESTER PA
19380-1271
US

IV. Provider business mailing address

1442 POTTSTOWN PIKE # 394
WEST CHESTER PA
19380-1271
US

V. Phone/Fax

Practice location:
  • Phone: 484-232-8319
  • Fax:
Mailing address:
  • Phone: 484-232-8319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020618
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW131553
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: