Samantha Rae Bracey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020725 Issued in PA

Practice address

396 S Centre St Ste 3
Pottsville, PA 17901-3597

Phone

(570) 573-3604

NPI assigned

Apr 18, 2015

Last updated

May 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment Care Compare group
• Clinical Social Worker Associates, Inc.

  • Clinical Social Worker
  • Pottsville, PA
  • NPI 1144511783
  NPD

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1326435298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-573-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-573-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahantongo St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013010",
            "country_code": "US",
            "telephone_number": "570-622-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas V Boran, MD
• Dale R. Bortz Jr., DO
• Boscovs Department Store LLC (Boscov's Optical)
• Katie M Bowman, M.S., CCC-SLP
• Laura Kate Boyer, PH.D.
• Richard E. Brannan, DO
• Jennifer Ann Brant
• Mark Daniel Brayford, D.O.
• Colleen M. Brennan, RPH
• Lisa Josephine Brennan, RN

• Clinical Social Worker in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.