Healthcare Provider Details
I. General information
NPI: 1437830148
Provider Name (Legal Business Name): SAMANTHA FILES DSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/26/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5004 ELK RIVER RD S
ELKVIEW WV
25071-9619
US
IV. Provider business mailing address
405 SUN VALLEY DR
SAINT ALBANS WV
25177-3523
US
V. Phone/Fax
- Phone: 304-759-9835
- Fax:
- Phone: 304-759-9835
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | BP00945430 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: