Samantha Roberts, LMSW
Individual provider Active NPI Social Worker · Sauquoit, NY
NPI 1477925899 · NPPES record last updated Oct 25, 2015
Key facts
- NPI
- 1477925899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 093143-1 (NY)
- Practice address
- 2680 Mohawk St
Sauquoit, NY 13456-3316 - Phone
- (315) 271-6912
- NPI assigned
- Oct 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 093143-1 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 093143-1 | NY | Yes |
Addresses
Primary practice location
2680 Mohawk St
Sauquoit, NY 13456-3316
Mailing address
2680 Mohawk St
Sauquoit, NY 13456-3316
Phone (315) 271-6912
Other providers in Sauquoit, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2015. 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.