Individual provider Active NPI

Samantha Gwendolyn Ball, LCSW

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1457693269
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009490 Issued in CT
Practice address
428 Long Hill Rd Ste 202
Groton, CT 06340-3811
Phone
(850) 814-6030
Fax
(888) 818-8537
NPI assigned
Mar 19, 2013
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 009490 CT Primary
Clinical Social Worker 1041C0700X 34686 MD

Addresses

Primary practice location

428 Long Hill Rd Ste 202
Groton, CT 06340-3811

Mailing address

428 Long Hill Rd Ste 202
Groton, CT 06340-3811
Phone (850) 814-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180404000840 CT Practitioner - Clinical Social Worker 1254575186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009490CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare of Rural Missouri, Inc CurrentSince May 13, 2013 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 2, 2024 Accepting new patients
Moving Past the Storm, LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients
Southeastern Pulmonary Assoc. PC PastSince Sep 1, 2023 Accepting new patients

Locations

428 Long Hill Rd
Ste 202
Groton, CT 06340
Phone (850) 814-6030

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

104 E Davis St
Stockton, MO 65785
Phone (417) 276-3380

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1457693269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LONG HILL RD STE 202",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403811",
            "telephone_number": "850-814-6030",
            "fax_number": "888-818-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LONG HILL RD STE 202",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403811",
            "telephone_number": "850-814-6030",
            "fax_number": "888-818-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "SAMANTHA",
        "middle_name": "GWENDOLYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009490",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.