Samantha Rojanasupya

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW120034 Issued in CA

Practice address

12350 Del Amo Blvd
Lakewood, CA 90715-1732

Phone

(805) 863-7193

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1023535176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD APT 822",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151712",
            "telephone_number": "805-863-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151732",
            "telephone_number": "805-863-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJANASUPYA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-03-26",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW120034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vallary Roeum
• Monique Roeun
• Roy Rogers
• Hae Roh
• Rohun Medical Corporation
• Robin Lee Roloff
• Angelica Romero
• Deneb Romero, MASSAGE THERAPIST
• Richard Carl Romero, B.A.
• Courtney Lauren Rompel, NP

• Clinical Social Worker in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.