Individual provider Active NPI

Samantha Silverman, L.C.S.W.

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1215999263
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923701 Issued in CO
Practice address
6863 Johnson St
Arvada, CO 80004-2948
Phone
(720) 722-1731
NPI assigned
Apr 5, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 09923701 CO Primary
Clinical Social Worker 1041C0700X SW-9221 FL

Addresses

Primary practice location

6863 Johnson St
Arvada, CO 80004-2948

Mailing address

6863 Johnson St
Arvada, CO 80004-2948
Phone (720) 722-1731

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL samanthasilverman@outlookcom

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170517000657 CO Practitioner - Clinical Social Worker 7719254044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Samantha Ivy LLCGroup PAC ID 0840552386, 12 clinicians

Practice addresses (Care Compare)

6863 Johnson St
Arvada, CO 80004-2948
Phone (954) 253-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09923701COMDClinical Social Worker
SW-9221FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Ivy LLC Clinical CurrentSince Nov 1, 2017 Accepting new patients

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1215999263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 JOHNSON ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042948",
            "telephone_number": "720-722-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6863 JOHNSON ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042948",
            "telephone_number": "720-722-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-9221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samanthasilverman@outlookcom",
            "affiliation": "N",
            "address_1": "6863 Johnson St",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800042948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.