Samantha May Staelens, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

225671 Issued in MA

Practice address

44 Spring Ter
Greenfield, MA 01301-3017

Phone

(413) 522-0321

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1659014298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SPRING TER",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013017",
            "telephone_number": "413-522-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SPRING TER",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013017",
            "telephone_number": "413-522-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAELENS",
        "first_name": "SAMANTHA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine Inc.
• Maddox Jeffrey Sprengel
• Marlena Ashley Springstubb, CNM
• Susan Ellen Sprung, MSW
• Dawn St. Luce, RN
• Angela Victoria Stafford
• Nicole Stafford
• Laura Elizabeth Stamas
• Darlene Stanisiewski, RN LMHC
• Kimberly Louise Starr, DNP

• Clinical Social Worker in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.