Individual provider Active NPI

Samantha Manchik, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1336874734
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-20364 Issued in AZ
Practice address
4833 E Southern Ave
Mesa, AZ 85206-2740
Phone
(602) 556-2610
NPI assigned
Jul 19, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 LCSW-20364 AZ Primary

Addresses

Primary practice location

4833 E Southern Ave
Mesa, AZ 85206-2740

Mailing address

4833 E Southern Ave
Mesa, AZ 85206-2740
Phone (602) 556-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230411001001 AZ Practitioner - Clinical Social Worker 0547635203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Tree PLCGroup PAC ID 5890125074, 6 clinicians

Practice addresses (Care Compare)

3210 S Gilbert Rd
Suite 1
Chandler, AZ 85286-5108
Phone (480) 219-9421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Health and Wellness LLC Clinical CurrentSince Sep 3, 2025 Accepting new patients
Wellness Tree PLC Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

3210 S Gilbert Rd
Ste 1
Chandler, AZ 85286
Phone (480) 219-9421

4980 S Alma School Rd
Chandler, AZ 85248

4833 E Southern Ave
Mesa, AZ 85206
Phone (602) 556-2610

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1336874734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062740",
            "telephone_number": "602-556-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062740",
            "telephone_number": "602-556-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHIK",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.