Brianne Chanel Sampson, LCSW

Key facts

NPI

1073307294

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

82290 (CA)

Practice address

420 Stone Jug Rd
Lewisberry, PA 17339-9174

Phone

(540) 604-1935

NPI assigned

Apr 4, 2025

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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

• Bend Health Psychiatric Services New England PA Adolescent and Children Mental Health Clinic/Center · Madison, WI · NPI 1932864022
  NPD (past)
• Roots Psychiatric Services PC Adolescent and Children Mental Health Clinic/Center · Glendale, CA · NPI 1457016560
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2025.

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1073307294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 STONE JUG RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STONE JUG RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399174",
            "telephone_number": "540-604-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Brand Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912032336",
            "country_code": "US",
            "telephone_number": "800-516-0975",
            "fax_number": "800-516-0975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041601",
            "country_code": "US",
            "telephone_number": "800-516-0975",
            "fax_number": "800-516-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "BRIANNE",
        "middle_name": "CHANEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW02117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lewisberry, PA · Clinical Social Worker in Pennsylvania