Individual provider Active NPI

Samina Hasan, LCSW-C

  • Social Worker
  • Crofton, MD
National Provider Identifier
1326710625
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22030 Issued in MD
Practice address
1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049
Phone
(410) 656-9522
NPI assigned
Oct 4, 2021
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118049 TX
Clinical Social Worker 1041C0700X 22030 MD
Social Worker 104100000X 22030 MD Primary
Clinical Social Worker 1041C0700X 118049 TX

Addresses

Primary practice location

1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049

Mailing address

1612 Professional Blvd Ste Ab203
Crofton, MD 21114-2049
Phone (410) 656-9522

Other practice location 1

2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472
Phone (443) 937-7089

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22030MDMDSocial Worker
118049TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mirror Mental Health CurrentSince Oct 10, 2021 Accepting new patients
Somatic Wellness Therapy LLC Clinical CurrentSince Oct 21, 2025 Accepting new patients

Locations

1612 Professional Blvd
Ste AB203
Crofton, MD 21114
Phone (410) 656-9522

2110 Priest Bridge Dr
Ste 1
Crofton, MD 21114
Phone (443) 937-7089

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1326710625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 PROFESSIONAL BLVD STE AB203",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142049",
            "telephone_number": "410-656-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PROFESSIONAL BLVD STE AB203",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142049",
            "telephone_number": "410-656-9522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Priest Bridge Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211142472",
            "country_code": "US",
            "telephone_number": "443-937-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SAMINA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "118049",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22030",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22030",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "118049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.