Active NPI
Sam Poyta Counseling, PLLC
- Clinical Social Worker
- Shoreline, WA
National Provider Identifier
1255235917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SAM POYTA COUNSELING, PLLC
- Practice address
- 19222 11TH Ave NE
Shoreline, WA 98155-2241 - Phone
- (571) 377-9384
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Poyta, MSW, LICSW
- Title
- Clinical Social Worker
- Phone
- (571) 377-9384
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
19222 11TH Ave NE
Shoreline, WA 98155-2241
Mailing address
19222 11TH Ave NE
Shoreline, WA 98155-2241
Phone (571) 377-9384
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Shoreline, WA
- NPI 1962043430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1255235917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19222 11TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981552241",
"telephone_number": "571-377-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19222 11TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981552241",
"telephone_number": "571-377-9384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM POYTA COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "POYTA",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "571-377-9384",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.