Samantha Portnoy, LMSWCC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC14869 Issued in ME

Practice address

500 US RT. 1 Suite 102
Yarmouth, ME 04096

Phone

(207) 847-2273

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1326454927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 US ROUTE 1 STE 102",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966817",
            "telephone_number": "207-847-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 US RT. 1 SUITE 102",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-847-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "SAMANTHA",
        "name_prefix": "Miss",
        "credential": "LMSWCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC14869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gerard Pingitore, DPM
• Pinnacle Group of Hudson Valley VII LLC (Pinnacle Health & Rehab at Yarmouth)
• Erin E. Piontek, M.D.
• Avery Pomerleau, DPT
• David Pontius, OTR/L
• Lauren E Potvin, LCPC
• Jennifer Power, M.D.
• Pamela Denise Powers, PH.D.
• Sadhana Prasad, DMD
• Sarah Elizabeth Price, NP

• Clinical Social Worker in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.