Samantha Paulus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW74666 Issued in CA

Practice address

714 W Main St
Grass Valley, CA 95945

Phone

(530) 477-9800

NPI assigned

Sep 1, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1285068734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24351 El Toro Rd.",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "92637",
            "country_code": "US",
            "telephone_number": "949-597-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW74666",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "36574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Amythyst Parks
• Jack Philip Pascoe, PSY.D.
• Jay Robert Patt, DC
• Karina Maele Patton
• Marybeth Paul, CMT
• Mark H Paye, DDS
• Nathan Brian Payne, DPM
• Katrina Elaine Paz, LCSCW
• Peace of Mind TMS PC
• Pebble Beach Dental of Grass Valley

• Clinical Social Worker in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.