Samara Lucinda Gall, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0906015688 Issued in VA

Practice address

904 Princess Anne St Ste 407
Fredericksburg, VA 22401-5804

Phone

(540) 479-3889

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paragon Autism Services, LLC

  • Behavior Analyst
  • Fredericksburg, VA
  • NPI 1720427875
  NPD (past)

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1629807334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 ROLLING PATH RD",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231172317",
            "telephone_number": "540-710-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 407",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015804",
            "telephone_number": "540-479-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "SAMARA",
        "middle_name": "LUCINDA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906015688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davies Gage
• J. Ardenia Gaines, NCTMB, LMT
• Christopher Gaitan
• Derek Joseph Galatro, DDS
• Gloria E Galdamez, M.D.
• Courtney Gallagher
• Ashley Gallegos-Leon
• Melanie Lee Galloway, LCSW
• Shelby Jean Galloway, M.D.
• Yessenia Yamaly Galvez Machado

• Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Social Worker in Virginia

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

Verify at the official NPI Registry.