Active NPI
Samantha Kruger, LCSW
- Social Worker
- Boston, MA
National Provider Identifier
1407457336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 224897
- Practice address
- 85 E Newton St
Boston, MA 02118-3553 - Phone
- (800) 981-4357
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 224897 | MA | Primary |
Addresses
Primary practice location
85 E Newton St
Boston, MA 02118-3553
Mailing address
85 E Newton St
Boston, MA 02118-3553
Phone (617) 414-8337
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 |
|---|---|---|---|
| 224897 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1407457336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183553",
"telephone_number": "617-414-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183553",
"telephone_number": "800-981-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "SAMANTHA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "224897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.