Active NPI
Samantha Ewart, MSW, LCSW
- Social Worker
- Middletown, RI
National Provider Identifier
1134489826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW01538
- Practice address
- 31 John Clarke Rd
Middletown, RI 02842-5641 - Phone
- (401) 849-2300
- Fax
- (401) 848-4156
- NPI assigned
- May 29, 2012
- Last updated
- Apr 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 217910 | MA | |
| Social Worker | 104100000X | CSW01538 | RI | Primary |
Addresses
Primary practice location
31 John Clarke Rd
Middletown, RI 02842-5641
Mailing address
395 Valley Rd
Apt B
Middletown, RI 02842-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
175 Dwight Rd
Suite 201B
Longmeadow, MA 01106-1576
Phone (413) 237-9010
55 Warren St
Roxbury, MA 02119-3235
Phone (617) 541-1829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217910 | MA | MD | Social Worker |
| CSW01538 | RI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Counseling Group Inc | Current | Accepting new patients | |
| Clearview Health & Wellness Group LLC | Current | Accepting new patients | |
| Clearview Counseling Group Inc | Current | Accepting new patients | |
| The Inner You | Past | Accepting new patients |
Locations
175 Dwight Rd
Ste 201B
Longmeadow, MA 01106
Phone (413) 237-9010
Interoperability endpoints
- lifestancehealth.samanthaewart@151046.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmeadow, MA
- NPI 1689177123
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roxbury, MA
- NPI 1184112377
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmeadow, MA
- NPI 1730754482
-
- Mental Health Counselor
- Longmeadow, MA
- NPI 1548081524
-
- Clinical Social Worker
- Warwick, RI
- NPI 1386177566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398556800000",
"number": "1134489826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 VALLEY RD",
"address_2": "APT B",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 JOHN CLARKE RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425641",
"telephone_number": "401-849-2300",
"fax_number": "401-848-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWART",
"first_name": "SAMANTHA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2014-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "217910",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "CSW01538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, RI
- Marisa Erazo, PA-C
- Essential Bodywork (Deeper Dive Wellness)
- Keryann Estrela, DNP
- Peter T. Eudenbach, O.D.
- Evan MK Garrett Family Medicine PC
- Eye Health Associates of Rhode Island Inc
- Eye Health Associates of Rhode Island Inc
- Eye Health Vision Center of Rhode Island
- Eye Health Vision Centers of Rhode Island Inc
- Ashley Faiella, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.