Individual provider Active NPI

Samantha J Flodin, LMSW

  • Clinical Social Worker
  • Clive, IA
National Provider Identifier
1255016572
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119075 Issued in IA
Practice address
12247 Stratford Dr
Clive, IA 50325-8147
Phone
(515) 393-6702
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 119075 IA Primary

Addresses

Primary practice location

12247 Stratford Dr
Clive, IA 50325-8147

Mailing address

12247 Stratford Dr
Clive, IA 50325-8147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119075IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Mental Health PC CurrentSince Jun 18, 2023 Accepting new patients

Locations

1345 SW Park Square Dr
Ste 206
Ankeny, IA 50023
Phone (515) 329-7735

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1255016572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258147",
            "telephone_number": "515-393-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLODIN",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "119075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.