Samantha Gibb, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9857245-3501 Issued in UT

Practice address

1906 Trosper Rd SW Apt G104
Tumwater, WA 98512-8127

Phone

(801) 502-8237

NPI assigned

Jun 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samantha.gibb.p1@direct.sokya.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samantha Gibb LCSW Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Spokane, WA
  • NPI 1598450371
  NPD Authorized official
• Corner Canyon Counseling

  • Community/Behavioral Health Agency
  • Draper, UT
  • NPI 1114371580
  NPD (past)
• Shashita Inamdar MD Professional Corporation

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1902220809
  NPD (past)

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1609256445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 TROSPER RD SW APT G104",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985128127",
            "telephone_number": "801-502-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 TROSPER RD SW APT G104",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985128127",
            "telephone_number": "801-502-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Birch St",
            "address_purpose": "LOCATION",
            "city": "McCleary",
            "state": "WA",
            "postal_code": "985579522",
            "country_code": "US",
            "telephone_number": "253-263-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBB",
        "first_name": "SAMANTHA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9857245-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L Gentzler, PT
• Genuine Massage by Reid, Co.
• Lance Daniel German, DE60369954
• Zachary German, O.D.
• Andrew G. Giannotti, MD
• Pandy Beth Gibson
• William C Gierach, LAT
• Vince A Gildner Jr., PT
• Anoop Kaur Gill, DDS
• Elizabeth Asuncion Gill

• Clinical Social Worker in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.