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Samantha Lake, LICSW

NPI 1740852284 · on the registry since 2021

Practice

Address
823 Maple St
Brainerd, MN 56401
Phone
(218) 454-3826
Clinicians at this address
55

Additional practice sites

  • 101 9th St Se, Little Falls, MN

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Social Worker
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-21
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota