Individual provider Active NPI

Samantha Gail Casazza, LCSW-C

  • Clinical Social Worker
  • Mardela Springs, MD
National Provider Identifier
1417609595
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27734 Issued in MD
Practice address
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone
(410) 742-7400
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 27734 MD Primary

Addresses

Primary practice location

23704 Ocean Gtwy
Mardela Springs, MD 21837-2101

Mailing address

4059 Grand Sark Dr
Salisbury, MD 21804-2535
Phone (443) 614-5639

Other identifiers 1

IdentifierTypeStateIssuer
1104978162MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scasazza@maple-shade.org
Direct Messaging Address sdaneman@maple-shade.org

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

LicenseStateTypeSpecialty
27734MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1417609595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 GRAND SARK DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042535",
            "telephone_number": "443-614-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23704 OCEAN GTWY",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218372101",
            "telephone_number": "410-742-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "SAMANTHA",
        "middle_name": "GAIL",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104978162",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scasazza@maple-shade.org",
            "affiliation": "N",
            "address_1": "23704 Ocean Gtwy",
            "city": "Mardela Springs",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218372101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdaneman@maple-shade.org",
            "affiliation": "N",
            "address_1": "23704 Ocean Gtwy",
            "city": "Mardela Springs",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218372101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mardela Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.