Provider Demographics
NPI:1487372009
Name:SCHNEIDER, SAMARA NAILA (MSW)
Entity type:Individual
Prefix:
First Name:SAMARA
Middle Name:NAILA
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8633 LEIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1723
Mailing Address - Country:US
Mailing Address - Phone:813-609-9412
Mailing Address - Fax:
Practice Address - Street 1:500 TRINITY LN N APT 4105
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1228
Practice Address - Country:US
Practice Address - Phone:813-609-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health