Individual provider Active NPI

Samantha Rachel Sohmer, LCSW

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1255615795
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072463 Issued in NY
Practice address
86 Great Oaks Rd
Roslyn Heights, NY 11577-1607
Phone
(516) 484-0650
NPI assigned
Oct 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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 072463 NY Primary

Addresses

Primary practice location

86 Great Oaks Rd
Roslyn Heights, NY 11577-1607

Mailing address

86 Great Oaks Rd
Roslyn Heights, NY 11577-1607
Phone (516) 484-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040410000082 NY Practitioner - Clinical Social Worker 3971597279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians

Practice addresses (Care Compare)

21111 Northern Blvd
Bayside, NY 11361-3241
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 239-1790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072463NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. CurrentSince Oct 15, 2011 Accepting new patients
Young Adult Institute, Inc. CurrentSince Oct 15, 2011 Accepting new patients
Premier Healthcare, Inc. CurrentSince Oct 15, 2011 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

460 W 34th St
New York, NY 10001
Phone (212) 273-6515

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Interoperability endpoints

  • Direct secure messaging: samantha.sohmer.p1@direct.premierhealthcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1255615795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 GREAT OAKS RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771607",
            "telephone_number": "516-484-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 GREAT OAKS RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771607",
            "telephone_number": "516-484-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHMER",
        "first_name": "SAMANTHA",
        "middle_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.