Individual provider Active NPI

Samantha Erickson-Lamb

  • Social Worker
  • Jamestown, NY
National Provider Identifier
1689110751
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098811 Issued in NY
Practice address
200 E 3Rd St
5TH Floor Muncipal Building
Jamestown, NY 14701-5433
Phone
(716) 661-8330
Fax
(716) 753-4230
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 098811 NY Primary

Addresses

Primary practice location

200 E 3Rd St
5TH Floor Muncipal Building
Jamestown, NY 14701-5433

Mailing address

2 Academy St RM 201
Mayville, NY 14757-1050
Phone (716) 753-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20230206001221 NY Practitioner - Clinical Social Worker 0244602910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Chautauqua - a Mun Corp 23 clinicians

Practice addresses (Care Compare)

200 E 3Rd St
Suite 5
Jamestown, NY 14701-5433
Phone (716) 661-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098811NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp CurrentSince Sep 15, 2022 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Sep 15, 2022 Accepting new patients

Locations

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

2 Academy St
Rm 201
Mayville, NY 14757
Phone (716) 753-4104

3 N Erie St
Mayville, NY 14757

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1689110751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 201",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050",
            "telephone_number": "716-753-4104",
            "fax_number": "716-753-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST",
            "address_2": "5TH FLOOR MUNCIPAL BUILDING",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330",
            "fax_number": "716-753-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON-LAMB",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.