Individual provider Active NPI

Samantha Lynch, LCSW

  • Social Worker
  • Lancaster, NY
National Provider Identifier
1205264959
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086352 Issued in NY
Practice address
525 Pavement Rd
Lancaster, NY 14086-9018
Phone
(716) 684-2662
Fax
(716) 684-1896
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 086352 NY Primary

Addresses

Primary practice location

525 Pavement Rd
Lancaster, NY 14086-9018

Mailing address

171 Hedstrom Dr
Amherst, NY 14226-3432
Phone (716) 907-3019

Other practice location 1

2040 Seneca St
Buffalo, NY 14210-2324
Phone (716) 823-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190919001073 NY Order and Referring Only - Clinical Social Worker 0941530877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086352NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1205264959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 HEDSTROM DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263432",
            "telephone_number": "716-907-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PAVEMENT RD",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869018",
            "telephone_number": "716-684-2662",
            "fax_number": "716-684-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142102324",
            "country_code": "US",
            "telephone_number": "716-823-7055",
            "fax_number": "716-828-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.