Samantha Jo Murphy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25460 Issued in MN

Practice address

519 Anne St NW Ste B
Bemidji, MN 56601-4278

Phone

(218) 444-2845

NPI assigned

Feb 26, 2021

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1235723537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25076 OAKLAND BEACH LN",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017788",
            "telephone_number": "218-849-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ANNE ST NW STE B",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014278",
            "telephone_number": "218-444-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall George Muirhead, DDS
• William G Muller, MD
• Christopher Mullet, DO
• Regina Marie Mulligan
• Deanna Ruth Murphy, MA, LPCC
• Shaun Myre, DPT
• Emily Jean Naegeli, PHARM.D
• Eric Ryan Nance, L.I.C.S.W.
• David Paul Nelson, DC
• Isabela Nelson

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.