Active NPI
Samantha K Bryant, LCSW
- Clinical Social Worker
- Clermont, FL
National Provider Identifier
1255615142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12620
- Practice address
- 1601 Hooks St
Clermont, FL 34711-3510 - Phone
- (407) 953-8968
- NPI assigned
- Oct 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW6902 | FL | |
| Clinical Social Worker | 1041C0700X | SW12620 | FL | Primary |
Addresses
Primary practice location
1601 Hooks St
Clermont, FL 34711-3510
Mailing address
1726 Garden View St
Mascotte, FL 34753-9541
Phone (407) 953-8968
Other practice location 1
835 7th St Ste 4
Clermont, FL 34711-2190
Phone (407) 953-8968
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW6902 | FL | MD | Clinical Social Worker |
| SW12620 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1255615142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 GARDEN VIEW ST",
"city": "MASCOTTE",
"state": "FL",
"postal_code": "347539541",
"telephone_number": "407-953-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 HOOKS ST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113510",
"telephone_number": "407-953-8968"
}
],
"practiceLocations": [
{
"address_1": "835 7th St Ste 4",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347112190",
"country_code": "US",
"telephone_number": "407-953-8968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "SAMANTHA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-10",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW6902",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.