Individual provider Active NPI

Samuel Baxter Steinbruegge, LCSW

  • Clinical Social Worker
  • Maryville, TN
National Provider Identifier
1437628930
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7258 Issued in TN
Practice address
519 W Lamar Alexander Pkwy
Maryville, TN 37801-4701
Phone
(865) 309-5427
Fax
(866) 318-9025
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 7258 TN Primary

Addresses

Primary practice location

519 W Lamar Alexander Pkwy
Maryville, TN 37801-4701

Mailing address

PO Box 5568
Maryville, TN 37802-5568
Phone (865) 309-5427

Other names 1

  • Sarah Beth Steinbruegge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220804000173 TX Practitioner - Clinical Social Worker 3779965926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

103 Fram St St
Petersburg, AK 99833-0430
Phone (907) 772-4963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7258TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jun 6, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jun 6, 2022 Accepting new patients
Psychotherapy and Forensic Services Clinical CurrentSince Jul 1, 2020 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

519 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 229-8950

547 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 221-7551

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1437628930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5568",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025568",
            "telephone_number": "865-309-5427",
            "fax_number": "866-318-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014701",
            "telephone_number": "865-309-5427",
            "fax_number": "866-318-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRUEGGE",
        "first_name": "SAMUEL",
        "middle_name": "BAXTER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "STEINBRUEGGE",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.