Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Nicole Kornowski, LCSW, APSW, CSAC

Individual provider Mental Health Counselor · NPI 1528447430

Samantha Nicole Kornowski, LCSW, APSW, CSAC is a Mental Health Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1701 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 498-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (WI)
Mental Health Counselor Taxonomy 101YM0800X (WI)

Record details

NPI number1528447430
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , APSW , CSAC
Sole proprietorNo
NPI enumeratedMay 26, 2015
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

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