Samantha Brown – Marriage & Family Therapist

Key facts

NPI: 1255993457
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: 131074 (CA)
Practice address: 40 E Minarets Ave
Pinedale, CA 93650-1239
Phone: (855) 534-3105
Fax: (844) 587-6405
NPI assigned: Jul 8, 2019
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Dwight W Sievert MD Inc Psychiatry Physician · Fresno, CA · NPI 1972509214

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
131074	CA	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Dwight W Sievert MD Inc		Past since Jun 1, 2004	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X
Marriage & Family Therapist	106H00000X
Marriage & Family Therapist	106H00000X	131074	CA	Yes

Addresses

Primary practice location

40 E Minarets Ave
Pinedale, CA 93650-1239

Mailing address

40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (855) 343-1057

Other providers in Pinedale, CA

All providers in Pinedale, CA · Marriage & Family Therapist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.