Nancy B. Samotis, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116075 Issued in MA

Practice address

15 Cape LN
Brewster, MA 02631-5231

Phone

(774) 323-0686

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1568512341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026316993",
            "telephone_number": "774-323-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAPE LN",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026315231",
            "telephone_number": "774-323-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOTIS",
        "first_name": "NANCY",
        "middle_name": "B.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "140004448CT01",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monda Sue Prior, MSW
• Melissa Quast, R.N.
• Raymond G. Magauran, M.D., P.C.
• Amanda Jane Reilly, APRN
• Katherine Romagnoli
• Wilderness Sarchild, M.A.
• Colleen E Sari, MD
• Edward J Sayer, PSY.D.
• Sue Ellen Schwam, LICSW
• Barbara Pierce Segal, L.M.H.C.

• Clinical Social Worker in Brewster, MA
• Providers in Brewster, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.