Samantha Maiori, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010141 Issued in CT

Practice address

91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602

Phone

(808) 671-8511

Fax

(808) 677-2570

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samantha.maiori.1@8042.direct.athenahealth.com

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1124452529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O BRIDGEPORT HOSPITAL REACH PROGRAM",
            "address_2": "1558 BARNUM AVE.",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103238",
            "telephone_number": "203-384-3653",
            "fax_number": "203-378-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2301 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063602",
            "telephone_number": "808-671-8511",
            "fax_number": "808-677-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORI",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LSW-2054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010141",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryvic Magsanoc
• Kian Jake Mahoney
• Tina P. Mai, M.D.
• Shanna D.E. Maikui, MSM CRIMINAL JUSTICE
• Jody Ann Main
• Majcare Hawaii, LLC
• Donna Lee Kehaunani Makaiwi
• Dawn Ku'Unani Makio
• Malama Care LLC
• Glenda Malana, MD

• Clinical Social Worker in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.