Individual ProviderSamantha HoganSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1100 E Market St, Louisville, KY 40206-1838(502) 596-1000PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Hogan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1770131286Provider TypeIndividualFull NameHogan, SamanthaCredentialBSWGenderFemaleSole ProprietorNoEnumeration Date8/28/2019Last Updated11/27/2023Contact InformationPractice LocationPractice Address1100 E Market St, Louisville, KY 40206-1838Phone(502) 596-1000Fax(502) 596-1410Mailing LocationMailing Address1100 E Market St, Louisville, KY 40206-1838Phone(502) 596-1000Fax(502) 596-1410Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer