Individual provider Active NPI

Samantha Heath, MSW

  • Clinical Social Worker
  • Washington, NC
National Provider Identifier
1295288207
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012993 Issued in NC
Practice address
408 E 11TH St
Washington, NC 27889-3719
Phone
(252) 975-2027
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C012993 NC
Clinical Social Worker 1041C0700X C012993 NC Primary

Addresses

Primary practice location

408 E 11TH St
Washington, NC 27889-3719

Mailing address

408 E 11TH St
Washington, NC 27889-3719
Phone (252) 975-2027

Other practice location 1

3126 Trellis Rd
Greenville, NC 27858-9262
Phone (252) 402-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211111000795 NC Practitioner - Clinical Social Worker 5597154617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012993NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zelynn CurrentSince Nov 10, 2024 Accepting new patients
Pamlico Counseling PLLC Mental Health CurrentSince Oct 16, 2023 Accepting new patients

Locations

408 E 11th St
Washington, NC 27889
Phone (252) 975-2027

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1295288207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893719",
            "telephone_number": "252-975-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893719",
            "telephone_number": "252-975-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3126 Trellis Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589262",
            "country_code": "US",
            "telephone_number": "252-402-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "SAMANTHA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C012993",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.