Samentha Kay Sakry, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31503 Issued in MN

Practice address

1618 Cloquet Ave
Cloquet, MN 55720-1948

Phone

(218) 451-2116

Fax

(218) 219-1511

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Waters Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
  • NPI 1316445455
  Medicare reassignment
• Birch & Pine Counseling PLLP

  • Clinical Social Worker
  • Cloquet, MN
  • NPI 1649915281
  NPD

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1134946809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5573 N TISHER RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55804",
            "telephone_number": "612-237-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201948",
            "telephone_number": "218-451-2116",
            "fax_number": "218-219-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKRY",
        "first_name": "SAMENTHA",
        "middle_name": "KAY",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Ronning
• Kathryn Dorothy Roufs, DPT
• Russell Rowenhorst, LICSW
• Rebekah Rud
• Carrie Beth Rutske, APRN, CNP
• Allysha Sample
• Jonathan Robert Sande, MD
• Sharlene May Santmyer, MSW, LICSW
• Lindsey Saukko
• Lucas Ryan Scherer, MSW, LICSW

• Clinical Social Worker in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.

Verify at the official NPI Registry.