Active NPI
Samone James, SW
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1275170177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6095C
- Practice address
- 633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637 - Phone
- (205) 235-4003
- Fax
- (205) 941-8071
- NPI assigned
- Dec 10, 2019
- Last updated
- Mar 13, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4910G | AL | |
| Clinical Social Worker | 1041C0700X | 6095C | AL | Primary |
Addresses
Primary practice location
633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Mailing address
PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730
Other practice location 1
5947 Highway 269
Parrish, AL 35580-3847
Phone (205) 686-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313003261 | AL | Practitioner - Clinical Social Worker | 3375065824 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4910G | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1275170177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746063",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746063",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 TUSCALOOSA AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111637",
"telephone_number": "205-235-4003",
"fax_number": "205-941-8071"
}
],
"practiceLocations": [
{
"address_1": "5947 Highway 269",
"address_purpose": "LOCATION",
"city": "Parrish",
"state": "AL",
"postal_code": "355803847",
"country_code": "US",
"telephone_number": "205-686-5113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "SAMONE",
"credential": "SW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "4910G",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "6095C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.