Hailey Samudio

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC61506928 Issued in WA

Practice address

17 E 1St Ave
Spokane, WA 99202-1501

Phone

(509) 838-4651

NPI assigned

Sep 5, 2023

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A Refuge: Trauma Informed Therapies, a Nonprofit Organization

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1457916710
  NPD (past)
• Trauma Informed Therapies

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1982158614
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1407632573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 1ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021501",
            "telephone_number": "509-838-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUDIO",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61442633",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61506928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sampson, LAPC
• Traci Sampson, PHARMD
• David C Sams, MD
• Jessica Sams, MSW, LICSW-A
• Sarah Samson
• Geetha Samuel, M.D.
• Addisyn Samuelson, LAT, ATC
• Kaylee Samuelson, LMT
• Raeanne M Samuelson
• Adam Michael Sanborn, MD

• Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.