Samantha Jo Maxwell, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW127264 Issued in PA

Practice address

2703 W State St
New Castle, PA 16101-8671

Phone

(724) 657-3303

Fax

(724) 657-3326

NPI assigned

Jul 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Counseling, LLCGroup PAC ID 1759781982, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Counseling LLC

  • Professional Counselor
  • Aliquippa, PA
  • NPI 1518507839
  Medicare reassignment Care Compare group NPD
• Ohio Valley Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Hudson, OH
  • NPI 1558484386
  NPD (past)

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1386875870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W STATE ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018671",
            "telephone_number": "724-657-3303",
            "fax_number": "724-657-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W STATE ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018671",
            "telephone_number": "724-657-3303",
            "fax_number": "724-657-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP CORP",
            "identifier": "251830792",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12766634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Matta, DMD
• Lori Allison Matta, M.S. CCC-SLP
• Mark Ayad Matta, DO
• Lisa Ann Matteo, LSW
• Lacey Bridget Maude, CRNP
• Tammy Lynn Maxwell, PT
• Maybrook-C Silver Oaks Opco, LLC
• Morina Mazzanti, PA-C
• Michele Ann McClelland, LPC
• Diana McClure, LSW

• Social Worker in New Castle, PA
• Providers in New Castle, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.