Active NPI
Samantha Barley
- Clinical Social Worker
- Wexford, PA
National Provider Identifier
1265030712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021395
- Practice address
- 16055 Perry Hwy BLDG 3
Wexford, PA 15090-6885 - Phone
- (724) 443-8900
- Fax
- (724) 443-8939
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021395 | PA | Primary |
Addresses
Primary practice location
16055 Perry Hwy BLDG 3
Wexford, PA 15090-6885
Mailing address
5239 S Honeysuckle LN
Battlefield, MO 65619-8292
Phone (717) 779-9318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW021395 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636761600000",
"number": "1265030712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5239 S HONEYSUCKLE LN",
"city": "BATTLEFIELD",
"state": "MO",
"postal_code": "656198292",
"telephone_number": "717-779-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 PERRY HWY BLDG 3",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906885",
"telephone_number": "724-443-8900",
"fax_number": "724-443-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLEY",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2021-11-13",
"certification_date": "2021-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.