Samantha Lynn Golden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8844C Issued in AR

Practice address

1521 Merrill Dr Ste D220
Little Rock, AR 72211-1654

Phone

(501) 660-6893

Fax

(501) 974-7798

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maci Scudder TherapyGroup PAC ID 3274974654, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maci Scudder Therapy

  dba Mindwave Therapy

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1669254181
  Medicare reassignment Care Compare group NPD
• Centers for Youth and Families, Inc.

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1174617526
  Medicare reassignment NPD
• Golden Heights Therapy LLC

  • Adult Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1215742671
  NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1245723204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MERRILL DR STE D220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111654",
            "telephone_number": "501-660-6893",
            "fax_number": "501-974-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8844C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Golden
• Jacqueline Golden
• Kimberly Johnson Golden, M.D.
• Nancy Golden, LPC, LPE-I
• Rachel Dyan Golden, PA
• Sara Elizabeth Golden, DO
• William Golden, MD
• Kennedy Goldmon
• Ora Goldsberry-Williams
• Leah Miriam Goldsholl, LMSW

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.