Samantha Withrow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001507 Issued in DE

Practice address

1058 S Governors Ave
Suite 102
Dover, DE 19904-6920

Phone

(302) 382-8698

NPI assigned

Feb 23, 2017

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

Enrolled in DE

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

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Blue Sky Psychological Services LLC

  • Community/Behavioral Health Agency
  • Camden, DE
  • NPI 1700491958
  Medicare reassignment NPD Authorized official
• Reforme Mental Wellness, LLC

  • Clinical Social Worker
  • Felton, DE
  • NPI 1215886486
  NPD Authorized official

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1346789369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 S GOVERNORS AVE",
            "address_2": "SUITE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046920",
            "telephone_number": "302-382-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 S GOVERNORS AVE",
            "address_2": "SUITE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046920",
            "telephone_number": "302-382-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Windley, PT, MPT, PHD
• Paulette Lavinia Winkfield, CADC, CCDP
• John Leroy Scot Winstead, PA-C
• Nicole Winter, LAT, ATC
• Amanda Wirt
• Angeline Wlock, MSN, AGPCNP-C, CHPN
• Wolf Creek Surgeons, P.a.
• Ralph Wolf, D.O.
• Sarah R Wolfe, LCSW
• Women'S Mobile Health Screening, LLC

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.