Individual provider · Type 1 NPI

Samantha J. Mangino, LGSW

Mental Health Counselor · Bradenton, FL

NPI number 1073166757 Active

Practice location

1609 6th Ave E
Bradenton, FL 34208-1439

Call (413) 481-1689 Map

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XBP00945511 (WV)
Mental Health Counselor Primary 101YM0800XSW17830 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1073166757

Samantha J. Mangino, LGSW's National Provider Identifier is 1073166757, issued on Jul 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bradenton, FL. The record was last updated on Mar 18, 2025.