Samantha Wright Wakach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22867 Issued in CA

Practice address

1949 1/2 Westwood Blvd
Suite 7
Los Angeles, CA 90025-8414

Phone

(310) 365-4295

NPI assigned

Feb 1, 2007

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Mindful Clinical Services, LLC

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1174265383
  NPD Authorized official
• Mindful Clinical Services, LLC

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1548901317
  NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1720126832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 1/2 WESTWOOD BLVD",
            "address_2": "SUITE 4B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258413",
            "telephone_number": "310-365-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 1/2 WESTWOOD BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258414",
            "telephone_number": "310-365-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKACH",
        "first_name": "SAMANTHA",
        "middle_name": "WRIGHT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Waites
• Emily Waitt
• Sophia Waitt
• Thitiporn Wajanakunakorn
• Robin Chikako Wakabayashi, DDS, MS
• Wakamatsu & Wakamatsu DDS
• Herbert Keiji Wakamatsu, OD
• Jeannie Wakamatsu, MPH, RD
• Tod Hitoshi Wakamatsu, DDS
• Emily Wakeling, AMFT

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.