MEDICARE: SAMANTHA GOLAND LCSW-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	22941	FL
2	1041C0700X	Clinical Social Worker	105207	TX

General Provider Information

NPI Number	:	1265023709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA GOLAND LCSW-S

Provider Business Mailing Address
First Line	:	500 N CAPITAL OF TEXAS HWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-3302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N CAPITAL OF TEXAS HWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-3302
Country	:	US
Telephone Number	:	512-522-2765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	09/11/2025

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