Individual provider Active NPI

Samantha Lynn Mei, LCSW

  • Clinical Social Worker
  • Brookfield, CT
National Provider Identifier
1720791684
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14033 Issued in CT
Practice address
34 Monika LN
Brookfield, CT 06804-3931
Phone
(914) 224-1203
NPI assigned
Jan 5, 2023
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5131 CT
Clinical Social Worker 1041C0700X 14033 CT Primary

Addresses

Primary practice location

34 Monika LN
Brookfield, CT 06804-3931

Mailing address

34 Monika LN
Brookfield, CT 06804-3931
Phone (914) 224-1203

Other names 1

  • Ms. Samantha Lynn Humphrey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241220002142 CT Practitioner - Clinical Social Worker 2264969898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14033CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Nov 4, 2024 Accepting new patients
Connecticut Institute for Communities Inc Current Accepting new patients
The Child & Family Institute of Fairfield County Clinical PastSince Jan 1, 2023 Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 743-9760

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1720791684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MONIKA LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043931",
            "telephone_number": "914-224-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MONIKA LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043931",
            "telephone_number": "914-224-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEI",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "5131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HUMPHREY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.