Individual provider Active NPI

Samantha Quinn, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1356875124
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095548-01 Issued in NY
Practice address
9 Oxford LN
Smithtown, NY 11787-4820
Phone
(631) 639-8328
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 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 095548-01 NY Primary

Addresses

Primary practice location

9 Oxford LN
Smithtown, NY 11787-4820

Mailing address

9 Oxford LN
Smithtown, NY 11787-4820
Phone (631) 639-8328

Other names 1

  • Samantha Quinn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230829002254 NY Practitioner - Clinical Social Worker 6709249428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Smithtown, NY 11787
Phone (631) 639-8328

267 E Main St
Suite B22
Smithtown, NY 11787-2851
Phone (631) 639-8328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095548-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Quinn LCSW PLLC Clinical CurrentSince Oct 8, 2025 Accepting new patients

Locations

267 E Main St
Ste B22
Smithtown, NY 11787
Phone (631) 639-8328

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1356875124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OXFORD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874820",
            "telephone_number": "631-639-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 OXFORD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874820",
            "telephone_number": "631-639-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095548-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "QUINN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.