| Doctor Name: | MISS SAMANTHA TORCH |
| NPI Number: | 1013196179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 075533-1 |
| Business Practice Address: | 10470 Queens Blvd Ste 200 Forest Hills, NY - 113753694 |
| Business Phone Number: | 7182756010 |
| Business Fax Number: | |
| Mailing Address: | 458 Clinton Ave, Apt. 2 BROOKLYN |
| State: | NY |
| Postal Code: | 112381602 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 01/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 075533-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |