Individual provider Active NPI

Samantha I Fazioli

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1255824462
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123946 Issued in MA
Practice address
125 Temby St
Springfield, MA 01119-1227
Phone
(401) 500-3164
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 123946 MA Primary

Addresses

Primary practice location

125 Temby St
Springfield, MA 01119-1227

Mailing address

125 Temby St
Springfield, MA 01119-1227
Phone (401) 500-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210825001855 MA Practitioner - Clinical Social Worker 0840695151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Systems, IncGroup PAC ID 8224017082, 16 clinicians

Practice addresses (Care Compare)

1023 Main St
Worcester, MA 01603-2425
Phone (508) 797-6100

585 Lincoln St
Worcester, MA 01605-1906
Phone (508) 831-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Systems, Inc Current Accepting new patients
Spectrum Health Systems Inc CurrentSince Jul 29, 2021 Accepting new patients

Locations

149 Oak St
Westborough, MA 01581

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400

Organizations & group practices 2

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1255824462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TEMBY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191227",
            "telephone_number": "401-500-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TEMBY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191227",
            "telephone_number": "401-500-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIOLI",
        "first_name": "SAMANTHA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.