Individual provider Active NPI

Gabrielle Lillian Samaniego, ASW

  • Clinical Social Worker
  • Blue Lake, CA
National Provider Identifier
1518640861
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123015 Issued in CA
Practice address
PO Box 1006
Blue Lake, CA 95525-1006
Phone
(707) 845-8737
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123015 CA Primary

Addresses

Primary practice location

PO Box 1006
Blue Lake, CA 95525-1006

Mailing address

PO Box 1006
Blue Lake, CA 95525-1006
Phone (707) 845-8737

Other practice location 1

PO Box 1254
Willow Creek, CA 95573-1254
Phone (707) 940-9528

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123015CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Strides Psychotherapy, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Michael N Sonn, Licensed Clinical Social Worker, PC PastSince Jun 12, 2022 Accepting new patients
Six Rivers Wellness Past Accepting new patients

Organizations & group practices 3

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1518640861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "BLUE LAKE",
            "state": "CA",
            "postal_code": "955251006",
            "telephone_number": "707-845-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "BLUE LAKE",
            "state": "CA",
            "postal_code": "955251006",
            "telephone_number": "707-845-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1254",
            "address_purpose": "LOCATION",
            "city": "Willow Creek",
            "state": "CA",
            "postal_code": "955731254",
            "country_code": "US",
            "telephone_number": "707-940-9528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "GABRIELLE",
        "middle_name": "LILLIAN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.