Individual provider Active NPI

Taylor Samaniuk, LCSW

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1750923074
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012494 Issued in VA
Practice address
21155 Whitfield PL Ste 202
Sterling, VA 20165-7277
Phone
(571) 375-0668
NPI assigned
Oct 9, 2019
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012494 VA Primary
School Social Worker 1041S0200X NU

Addresses

Primary practice location

21155 Whitfield PL Ste 202
Sterling, VA 20165-7277

Mailing address

21155 Whitfield PL Ste 202
Sterling, VA 20165-7277

Other practice location 1

21000 Education Ct
Broadlands, VA 20148-5526
Phone (571) 252-1582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904012494VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools PastSince Oct 1, 2019 Accepting new patients

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, 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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1750923074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL STE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL STE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657277",
            "telephone_number": "571-375-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Education Ct",
            "address_purpose": "LOCATION",
            "city": "Broadlands",
            "state": "VA",
            "postal_code": "201485526",
            "country_code": "US",
            "telephone_number": "571-252-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANIUK",
        "first_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012494",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.