Individual provider Active NPI

Kristina Powell-Samuel, LCSW

  • Social Worker
  • Lutz, FL
National Provider Identifier
1053898411
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
18510 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone
(813) 262-0460
Fax
(813) 798-0551
NPI assigned
Jul 27, 2018
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

18510 N Dale Mabry Hwy
Lutz, FL 33548-7900

Mailing address

18510 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone (813) 262-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1053898411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-262-0460",
            "fax_number": "813-798-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-262-0460",
            "fax_number": "813-798-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL-SAMUEL",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.