Active NPI
Megan Samuels, MSW, LMSW
- Social Worker
- Frederick, MD
National Provider Identifier
1508475591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28592
- Practice address
- 3534 Urbana Pike Ste C
Frederick, MD 21704-7786 - Phone
- (301) 304-7108
- NPI assigned
- Jul 27, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28592 | MD | Primary |
Addresses
Primary practice location
3534 Urbana Pike Ste C
Frederick, MD 21704-7786
Mailing address
3534 Urbana Pike Ste C
Frederick, MD 21704-7786
Phone (301) 304-7108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28592 | MD | MD | Social Worker |
Interoperability endpoints
- https://api.platform.athenahealth.com/19052/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1508475591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3534 URBANA PIKE STE C",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047786",
"telephone_number": "301-304-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3534 URBANA PIKE STE C",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047786",
"telephone_number": "301-304-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "MEGAN",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "28592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.