Active NPI
Samantha Ruth Flint, LCSW, LISW
- Clinical Social Worker
- Fort Moore, GA
National Provider Identifier
1629457486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 256249
- Practice address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905-2102 - Phone
- (863) 370-3274
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 7251 | KY | |
| Clinical Social Worker | 1041C0700X | OH | ||
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 256249 | KY | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Other practice location 1
2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone (270) 506-2730
Other practice location 2
1311 N Dixie Hwy Bldg D
Elizabethtown, KY 42701-2621
Phone (270) 360-0419
Other practice location 3
6100 S Mason Montgomery Rd
Mason, OH 45040-3708
Phone (513) 398-5025
Other practice location 4
7281 Dumosa Ave
Yucca Valley, CA 92284-3769
Phone (760) 853-4755
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7251 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1629457486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "863-370-3274"
}
],
"practiceLocations": [
{
"address_1": "2000 Ring Rd",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427019454",
"country_code": "US",
"telephone_number": "270-506-2730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311 N Dixie Hwy Bldg D",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427012621",
"country_code": "US",
"telephone_number": "270-360-0419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 S Mason Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "OH",
"postal_code": "450403708",
"country_code": "US",
"telephone_number": "513-398-5025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7281 Dumosa Ave",
"address_purpose": "LOCATION",
"city": "Yucca Valley",
"state": "CA",
"postal_code": "922843769",
"country_code": "US",
"telephone_number": "760-853-4755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLINT",
"first_name": "SAMANTHA",
"middle_name": "RUTH",
"credential": "LCSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "7251",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "256249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.