Individual provider Active NPI

Samantha Lankford Houda, MSW, LCSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1154659050
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64860 Issued in CA
Practice address
17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone
(760) 741-4300
NPI assigned
Dec 3, 2009
Last updated
Apr 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW 26926 CA
Clinical Social Worker 1041C0700X 64860 CA Primary

Addresses

Primary practice location

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301

Mailing address

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 741-4300

Other names 1

  • Samantha Lankford Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 26926CAMDMental Health Counselor
64860CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Core Purpose Therapy, Licensed Clinical Social Worker, PC Clinical Current Accepting new patients

Locations

1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853

Organizations & group practices 1

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1154659050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 SAN PASQUAL VALLEY RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255301",
            "telephone_number": "760-741-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17701 SAN PASQUAL VALLEY RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255301",
            "telephone_number": "760-741-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDA",
        "first_name": "SAMANTHA",
        "middle_name": "LANKFORD",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 26926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LANKFORD",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.