Active NPI
Edna Joyce Sams, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1568177350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094475
- Practice address
- 2330 Bronx Park E
Bronx, NY 10467-7578 - Phone
- (212) 889-5500
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 094475 | NY | Primary |
Addresses
Primary practice location
2330 Bronx Park E
Bronx, NY 10467-7578
Mailing address
75 Easton Ave
Spotswood, NJ 08884-1157
Phone (646) 261-1193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3957 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094475 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1568177350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 EASTON AVE",
"city": "SPOTSWOOD",
"state": "NJ",
"postal_code": "088841157",
"telephone_number": "646-261-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 BRONX PARK E",
"city": "BRONX",
"state": "NY",
"postal_code": "104677578",
"telephone_number": "212-889-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMS",
"first_name": "EDNA",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3957",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.