Active NPI
Samantha Nathania Kleinman, LCSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1477699353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 056368-1
- Practice address
- 16110 Jamaica Ave
2ND Floor
Jamaica, NY 11432-6139 - Phone
- (718) 704-5488
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 056368-1 | NY | Primary |
Addresses
Primary practice location
16110 Jamaica Ave
2ND Floor
Jamaica, NY 11432-6139
Mailing address
997 Propp Ave
Franklin Square, NY 11010-2312
Phone (516) 305-4726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244624 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056368-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Past | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
| Lifespire, Inc. | Past | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Clinic/Center
- New York, NY
- NPI 1497709166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1477699353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 PROPP AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110102312",
"telephone_number": "516-305-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16110 JAMAICA AVE",
"address_2": "2ND FLOOR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326139",
"telephone_number": "718-704-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMAN",
"first_name": "SAMANTHA",
"middle_name": "NATHANIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "056368-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244624",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.