Individual provider Active NPI

Samantha Dagle, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1316850134
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW27339 Issued in FL
Practice address
4540 Pga Blvd Ste 212
Palm Beach Gardens, FL 33418-3945
Phone
(321) 549-7414
NPI assigned
Sep 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW27339 FL Primary

Addresses

Primary practice location

4540 Pga Blvd Ste 212
Palm Beach Gardens, FL 33418-3945

Mailing address

150 NE 6TH Ave Apt I
Delray Beach, FL 33483-5466

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1316850134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NE 6TH AVE APT I",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 PGA BLVD STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183945",
            "telephone_number": "321-549-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLE",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW27339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.