Samantha Josephine Circelli, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1615 Pasadena Ave S
South Pasadena, FL 33707-4516

Phone

(727) 940-9538

NPI assigned

Jan 9, 2020

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1639719479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 DARTMOUTH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074516",
            "telephone_number": "727-940-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCELLI",
        "first_name": "SAMANTHA",
        "middle_name": "JOSEPHINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19829",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakira Causevic
• Alexander J Chapunoff, L.M.H.C.
• Maria Planthara Chatham, M.D.
• Annemarie T Christino, APRN, CRNA
• Christopher Jude Christoff, OTR/L
• John Mitchell Clarke, MD
• Coast Florida P.a.
• Alan Cole, PHARM D
• Janine Comegys, LCSW
• Thomas F Conroy, M.D.

• Mental Health Counselor in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.