Active NPI
La'Tesha Sampson, LCSW
- Clinical Social Worker
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05608300
- 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
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 | 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05608300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Joy Counseling and Consulting Services LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.