Individual provider Active NPI

La'Tesha Sampson, LCSW

  • Clinical Social Worker
  • Clark, NJ
National Provider Identifier
1730576398
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05608300 Issued in NJ
Practice address
800 Raritan Rd # 2
Clark, NJ 07066-1710
Phone
(908) 445-7444
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 44SC05608300 NJ Primary

Addresses

Primary practice location

800 Raritan Rd # 2
Clark, NJ 07066-1710

Mailing address

800 Raritan Rd
Clark, NJ 07066-1710
Phone (908) 445-7444

Other practice location 1

8001 Raintree Ln Ste 213
Charlotte, NC 28277-8919
Phone (908) 615-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190215001261 NJ Practitioner - Clinical Social Worker 0244578367 Reassigns benefits to 1 organization
I20240807000009 NC Practitioner - Clinical Social Worker 0244578367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

138 Westfield Ave
Suite 5
Clark, NJ 07066-2432
Phone (908) 615-4928

8001 Raintree LN
Suite 213
Charlotte, NC 28277-8919
Phone (908) 615-4928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05608300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Joy Counseling and Consulting Services LLC Clinical CurrentSince Dec 14, 2021 Accepting new patients

Locations

8001 Raintree Ln
Ste 213
Charlotte, NC 28277
Phone (704) 209-9832

800 Raritan Rd
#1
Clark, NJ 07066
Phone (908) 615-4928

800 Raritan Rd
Clark, NJ 07066
Phone (732) 381-1600

138 Westfield Ave
Ste 5
Clark, NJ 07066
Phone (732) 381-5565

800 Raritan Rd
#2
Clark, NJ 07066
Phone (908) 445-7444

131 S Euclid Ave
Westfield, NJ 07090
Phone (908) 518-7657

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1730576398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "908-445-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RARITAN RD # 2",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "908-445-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Raintree Ln Ste 213",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778919",
            "country_code": "US",
            "telephone_number": "908-615-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "LA'TESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05608300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.