Individual provider Active NPI

Ashley Danielle Samuel, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1770450199
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25612 Issued in FL
Practice address
15975 NW 6TH Ave
Miami, FL 33169-6846
Phone
(786) 945-7243
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW25612 FL Primary

Addresses

Primary practice location

15975 NW 6TH Ave
Miami, FL 33169-6846

Mailing address

15975 NW 6TH Ave
Miami, FL 33169-6846
Phone (786) 945-7243

Other practice location 1

6990 Griffin Rd
Davie, FL 33314-4345
Phone (954) 526-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251217004044 FL Practitioner - Clinical Social Worker 7618462656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25612FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Therapy Group Inc Clinical CurrentSince Dec 6, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 14, 2025 Accepting new patients

Locations

6990 Griffin Rd
Davie, FL 33314
Phone (754) 248-9589

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1770450199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15975 NW 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696846",
            "telephone_number": "786-945-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15975 NW 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696846",
            "telephone_number": "786-945-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6990 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333144345",
            "country_code": "US",
            "telephone_number": "954-526-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.