Individual provider Active NPI

Janice W. Sams, LC SWC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1225147440
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00938 Issued in MD
Practice address
9650 Santiago Rd
Ste. 101
Columbia, MD 21045-3957
Phone
(410) 995-5587
Fax
(410) 992-1779
NPI assigned
Aug 30, 2006
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00938 MD Primary

Addresses

Primary practice location

9650 Santiago Rd
Ste. 101
Columbia, MD 21045-3957

Mailing address

9650 Santiago Rd
Ste. 101
Columbia, MD 21045-3957
Phone (410) 995-5587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101008000149 MD Practitioner - Clinical Social Worker 6709078751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Counseling Group LLCGroup PAC ID 6901271444, 3 clinicians

Practice addresses (Care Compare)

9560 Santiago Rd
Suite 102
Columbia, MD 21045-3958
Phone (410) 995-5587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00938MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Group LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

9650 Santiago Rd
Ste 102
Columbia, MD 21045
Phone (410) 995-5587

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1225147440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "address_2": "STE. 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "410-995-5587",
            "fax_number": "410-992-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "address_2": "STE. 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "410-995-5587",
            "fax_number": "410-992-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "JANICE",
        "middle_name": "W.",
        "credential": "LC SWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "00938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.