Samantha Black
Individual provider Active NPI Social Worker · Oskaloosa, KS
NPI 1417825977 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1417825977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4964 (KS)
- Practice address
- 1102 Walnut St
Oskaloosa, KS 66066-4203 - Phone
- (785) 214-4084
- Fax
- (785) 214-4107
- NPI assigned
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4964 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center, Inc | Current |
Accepting new patients | |
| The Guidance Center, Inc | Past |
Accepting new patients |
Locations
500 Limit St
Leavenworth, KS 66048
Phone (913) 682-5118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4964 | KS | Yes |
Addresses
Primary practice location
1102 Walnut St
Oskaloosa, KS 66066-4203
Mailing address
500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118
Other providers in Oskaloosa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.