Active NPI
Samantha A Manewitz, LICSW, LCSW
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1073870481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118237
- Practice address
- 288 Walnut St
Ste 220
Newton, MA 02460-1948 - Phone
- (617) 552-5116
- Fax
- (617) 552-5117
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33006138A | IN | |
| Clinical Social Worker | 1041C0700X | 34006979A | IN | |
| Clinical Social Worker | 1041C0700X | 118237 | MA | Primary |
Addresses
Primary practice location
288 Walnut St
Ste 220
Newton, MA 02460-1948
Mailing address
39 Columbus St
Newton, MA 02461-1436
Phone (617) 775-5373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12647745 | Other | IN | CAQH ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33006138A | IN | MD | Social Worker |
| 34006979A | IN | MD | Clinical Social Worker |
| 118237 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Room | Past | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Clinical | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Newton, MA
- NPI 1841554300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1073870481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 COLUMBUS ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611436",
"telephone_number": "617-775-5373",
"fax_number": "617-552-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 WALNUT ST",
"address_2": "STE 220",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601948",
"telephone_number": "617-552-5116",
"fax_number": "617-552-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANEWITZ",
"first_name": "SAMANTHA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LICSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33006138A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006979A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "12647745",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.