Individual provider Active NPI

Samantha Marie Shields, LGSW

  • Social Worker
  • Huntington, WV
National Provider Identifier
1225783277
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00946033 Issued in WV
Practice address
4540 US Route 60
Huntington, WV 25705-1936
Phone
(304) 525-7111
Fax
(304) 525-7112
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00946033 WV Primary

Addresses

Primary practice location

4540 US Route 60
Huntington, WV 25705-1936

Mailing address

4540 US Route 60
Huntington, WV 25705-1936
Phone (304) 525-7111

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BP00946033WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospitalist Group Inc CurrentSince Feb 24, 2022 Accepting new patients
Huntington Hospitalist Group Inc PastSince Feb 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1225783277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111",
            "fax_number": "304-525-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051936",
            "telephone_number": "304-525-7111",
            "fax_number": "304-525-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.