Samantha Anderson, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119788 Issued in CA

Practice address

1103 E Clark Ave Ste C
Santa Maria, CA 93455-5145

Phone

(805) 448-7469

Fax

(805) 354-0806

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1457112625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E CLARK AVE STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555145",
            "telephone_number": "805-448-7469",
            "fax_number": "805-354-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E CLARK AVE STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555145",
            "telephone_number": "805-448-7469",
            "fax_number": "805-354-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SAMANTHA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gigi Anderson
• Gregory Layton Anderson, D.C.
• Kimberly Lynn Anderson, FNP-C
• Leslie Rae Anderson
• Roxana Jean Anderson
• Alyse Micaela Andrade, RN IBCLC
• Romanda Andrade
• Andrew Millar PHD and Teri White PHD Dba Psychology Center of Santa Ma (Psychology Center of Santa Maria)
• Andrew Van Sicklen DDS Inc. (Surfin Smiles)
• Amanda Andrews

• Clinical Social Worker in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.