Individual provider Active NPI

Brianne Chanel Sampson, LCSW

  • Clinical Social Worker
  • Lewisberry, PA
National Provider Identifier
1073307294
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82290 Issued in CA
Practice address
420 Stone Jug Rd
Lewisberry, PA 17339-9174
Phone
(540) 604-1935
NPI assigned
Apr 4, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW02117 PA
Clinical Social Worker 1041C0700X 82290 CA Primary

Addresses

Primary practice location

420 Stone Jug Rd
Lewisberry, PA 17339-9174

Mailing address

420 Stone Jug Rd
Lewisberry, PA 17339-9174

Other practice location 1

330 N Brand Blvd Ste 700
Glendale, CA 91203-2336
Phone (800) 516-0975

Other practice location 2

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (800) 516-0975

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

State licenses

LicenseStateTypeSpecialty
82290CAMDClinical Social Worker
CW02117PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Psychiatric Services PC Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

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, 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": "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": []
}

Other providers in Lewisberry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.