Individual provider · Type 1 NPI

Ayanna S. Sampson, LCSW

Clinical Social Worker · Gainesville, FL

NPI number 1093826455 Active

Practice location

1601 SW Archer Rd, PSY-116-A
Gainesville, FL 32608-1135

Fax (386) 754-6386

Mailing address

195 SE Victoria Gln
Lake City, FL 32025-9307

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XCSW0000006831 (TN)
Clinical Social Worker Primary 1041C0700XCSW005001 (GA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093826455

Ayanna S. Sampson, LCSW's National Provider Identifier is 1093826455, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, FL. The record was last updated on Jun 22, 2015.