Active NPI
Samantha Warner, ASW
- Social Worker
- Pescadero, CA
National Provider Identifier
1235735671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 98912
- Practice address
- 2599 Cloverdale Road
Pescadero, CA 94060-0055 - Phone
- (562) 852-4334
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 98912 | CA | Primary |
Addresses
Primary practice location
2599 Cloverdale Road
Pescadero, CA 94060-0055
Mailing address
PO Box 55
Pescadero, CA 94060-0055
Phone (562) 852-4334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 98912 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1235735671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "PESCADERO",
"state": "CA",
"postal_code": "940600055",
"telephone_number": "562-852-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2599 CLOVERDALE ROAD",
"city": "PESCADERO",
"state": "CA",
"postal_code": "940600055",
"telephone_number": "562-852-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "SAMANTHA",
"name_prefix": "Ms.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "98912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pescadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.