Individual provider Active NPI

Samantha Plumski, LICSW

  • Clinical Social Worker
  • Motley, MN
National Provider Identifier
1184076473
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5708 Issued in ND
Practice address
17 Cedar St W
Motley, MN 56466-2493
Phone
(320) 431-6462
Fax
(855) 595-1058
NPI assigned
Jul 11, 2016
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18629 MN
Clinical Social Worker 1041C0700X 5708 ND Primary

Addresses

Primary practice location

17 Cedar St W
Motley, MN 56466-2493

Mailing address

17 Cedar St W
Motley, MN 56466-2493
Phone (320) 431-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190521002756 ND Practitioner - Clinical Social Worker 9335482058 Reassigns benefits to 1 organization
I20200122002109 MN Practitioner - Clinical Social Worker 9335482058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley Kasson Therapy PLLCGroup PAC ID 8224446406, 2 clinicians

Practice addresses (Care Compare)

3220 4TH St E
Suite 102
West Fargo, ND 58078-3082
Phone (701) 501-7449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18629MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Minded Therapy PLLC Clinical CurrentSince Jan 27, 2026 Accepting new patients
Ashley Kasson Therapy PLLC Mental Health CurrentSince Jun 17, 2024 Accepting new patients

Locations

3220 4th St E
Ste 102
West Fargo, ND 58078
Phone (701) 501-7449

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, 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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1184076473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST W",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564662493",
            "telephone_number": "320-431-6462",
            "fax_number": "855-595-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST W",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564662493",
            "telephone_number": "320-431-6462",
            "fax_number": "855-595-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMSKI",
        "first_name": "SAMANTHA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18629",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Motley, MN

Sources for this page

Verify at the official NPI Registry.