Individual provider Active NPI

Samantha Hawken, LMSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1619704319
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2023037352 Issued in MO
Practice address
1750 S Brentwood Blvd Ste 205
Saint Louis, MO 63144-1315
Phone
(314) 881-0350
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 2023037352 MO Primary

Addresses

Primary practice location

1750 S Brentwood Blvd Ste 205
Saint Louis, MO 63144-1315

Mailing address

909 Oakwood Farms LN
Ballwin, MO 63021-7907
Phone (314) 409-6384

Other practice location 1

8150 Wornall Rd
Kansas City, MO 64114-5806
Phone (816) 508-3500

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
2023037352MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones of Care Social Worker PastSince Feb 9, 2025 Accepting new patients
Gillis Center, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1619704319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 OAKWOOD FARMS LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217907",
            "telephone_number": "314-409-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S BRENTWOOD BLVD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441315",
            "telephone_number": "314-881-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145806",
            "country_code": "US",
            "telephone_number": "816-508-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKEN",
        "first_name": "SAMANTHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023037352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.