Active NPI
Samantha Chalal, LCSW
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1346808839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15958
- Practice address
- 999 Brickell Bay Dr Apt 909
Miami, FL 33131-2930 - Phone
- (561) 702-1626
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15958 | FL | Primary |
Addresses
Primary practice location
999 Brickell Bay Dr Apt 909
Miami, FL 33131-2930
Mailing address
999 Brickell Bay Dr Apt 909
Miami, FL 33131-2930
Phone (561) 702-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW15958 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW15958 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1346808839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 BRICKELL BAY DR APT 909",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312930",
"telephone_number": "561-702-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 BRICKELL BAY DR APT 909",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312930",
"telephone_number": "561-702-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALAL",
"first_name": "SAMANTHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "SW15958",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.