Individual provider Active NPI

Samantha Michelle Notaro, LCSW

  • Clinical Social Worker
  • Jackson, NJ
National Provider Identifier
1720754658
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05939000 Issued in NJ
Practice address
12 Denise Dr
Jackson, NJ 08527-2445
Phone
(732) 814-5283
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05939000 NJ Primary

Addresses

Primary practice location

12 Denise Dr
Jackson, NJ 08527-2445

Mailing address

12 Denise Dr
Jackson, NJ 08527-2445
Phone (732) 814-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210902001548 NJ Practitioner - Clinical Social Worker 9133525959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Clarity CounselingGroup PAC ID 8022442078, 10 clinicians

Practice addresses (Care Compare)

Hazlet, NJ 07730
Phone (732) 639-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling Clinical CurrentSince Dec 14, 2025 Accepting new patients
Inner Clarity LLC Clinical PastSince Sep 29, 2019 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1720754658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DENISE DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272445",
            "telephone_number": "732-814-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DENISE DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272445",
            "telephone_number": "732-814-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTARO",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05939000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.