Individual provider Active NPI

Samantha Wingo

  • Social Worker
  • Chesapeake, OH
National Provider Identifier
1558887828
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2506870 Issued in OH
Practice address
303 3Rd Ave
Chesapeake, OH 45619-1144
Phone
(740) 451-0415
NPI assigned
Aug 18, 2017
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2506870 OH Primary

Addresses

Primary practice location

303 3Rd Ave
Chesapeake, OH 45619-1144

Mailing address

691 Shoestring Ridge Rd
Gallipolis, OH 45631-8302
Phone (740) 301-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220601001442 OH Practitioner - Clinical Social Worker 2264810332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anew Behavioral Health LLCGroup PAC ID 2567855349, 3 clinicians

Practice addresses (Care Compare)

400 E State St
Suite D
Athens, OH 45701-1870
Phone (603) 400-6345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2506870OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Behavioral Health, LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Aug 5, 2025 Accepting new patients

Locations

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

400 E State St
Ste D
Athens, OH 45701
Phone (740) 249-4514

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 2

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1558887828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 SHOESTRING RIDGE RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318302",
            "telephone_number": "740-301-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191144",
            "telephone_number": "740-451-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2506870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, OH

Sources for this page

Verify at the official NPI Registry.