Individual provider Active NPI

Samantha Navratil, LCWS

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1063743607
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1330 23Rd St S
Ste B
Fargo, ND 58103
Phone
(701) 526-4898
Fax
(701) 205-4734
NPI assigned
Jan 21, 2010
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1330 23Rd St S
Ste B
Fargo, ND 58103

Mailing address

1330 23Rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898

Other practice location 1

2624 9TH Ave S
SE Human Service Center
Fargo, ND 58103
Phone (701) 298-4500 ext. 4552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210423000495 ND Practitioner - Clinical Social Worker 1759799109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Story Counseling Services PLLCGroup PAC ID 9335579598, 9 clinicians

Practice addresses (Care Compare)

1330 23Rd St S
Fargo, ND 58103-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Story Counseling Services PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

1330 23rd St S
Fargo, ND 58103
Phone (701) 526-4898

1330 23rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898

1330 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 300-8879

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1063743607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 23RD ST S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-526-4898",
            "fax_number": "701-205-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 23RD ST S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-526-4898",
            "fax_number": "701-205-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 9TH AVE S",
            "address_2": "SE HUMAN SERVICE CENTER",
            "address_purpose": "LOCATION",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "country_code": "US",
            "telephone_number": "701-298-4500 x4552",
            "fax_number": "701-298-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVRATIL",
        "first_name": "SAMANTHA",
        "credential": "LCWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.