Active NPI
Courtney Samari
- Clinical Social Worker
- Bakersfield, CA
National Provider Identifier
1700290251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 28064
- Practice address
- 1700 Mount Vernon Ave
Bakersfield, CA 93306-4018 - Phone
- (661) 326-2000
- NPI assigned
- Jun 12, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 28064 | CA | Primary |
Addresses
Primary practice location
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Mailing address
2535 16TH St
Ste 205
Bakersfield, CA 93301-3417
Phone (661) 326-2220
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 |
|---|---|---|---|
| LCS 28064 | CA | MD | Clinical Social Worker |
| 28064 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anandarayne Licensed Clinical Social Worker Corp | Current | Accepting new patients |
Locations
2535 16th St
Ste 205
Bakersfield, CA 93301
Phone (661) 431-1555
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1902381395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700290251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 16TH ST",
"address_2": "STE 205",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013417",
"telephone_number": "661-326-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MOUNT VERNON AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064018",
"telephone_number": "661-326-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMARI",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 28064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.