Samantha Jane Platta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006606 Issued in GA

Practice address

401 Bombay LN
Roswell, GA 30076-5826

Phone

(770) 664-1920

NPI assigned

Oct 24, 2018

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 GA

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

Medicare enrollment (NPD)

Enrolled

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.

• Georgia Outreach, LLC

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1902128929

  Clinical

  Medicare reassignment NPD
• New Groove Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Wentworth, GA
  • NPI 1780369199
  NPD Authorized official

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1396212726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DAYTONA DR",
            "city": "BLOOMINGDALE",
            "state": "GA",
            "postal_code": "313024855",
            "telephone_number": "157-043-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765826",
            "telephone_number": "770-664-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Washington St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393809",
            "country_code": "US",
            "telephone_number": "570-436-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLATTA",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PKW Wellness LLC (The NOW Roswell)
• Christina C Plaice, MA, LPC
• Leah Shissias Planchard, MS, OTR/L
• Platinum Dental Group Surgical Center
• Platinum Dental of Roswell (Platinum Point Holdings, LLC)
• Erin Pohlschmidt
• Sai Rohit Polakam, RBT
• Brady Polana, LMSW
• Jill Sherri Polisner-Kruljac, LPC
• Charles V Pollack Jr., MD

• Clinical Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.