Samantha Sandland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW02036 Issued in RI

Practice address

1060 Tiogue Ave Unit 2
Coventry, RI 02816-6114

Phone

(401) 477-6513

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bewell Therapy Collaborative, LLC

  • Clinical Social Worker
  • Coventry, RI
  • NPI 1629769591
  Medicare reassignment NPD
• Family Service of Rhode Island, Inc.

  • Adult Mental Health Clinic/Center
  • Providence, RI
  • NPI 1598833535
  Medicare reassignment

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1780103101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HARLEY ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028936011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 TIOGUE AVE UNIT 2",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166114",
            "telephone_number": "401-477-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLAND",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael E Rudloff, M.S., BCBA, LABA
• Sarah Rachel Ryder, OTR/L
• Kimberly M Saccucci, OTD, OTR/L
• Jenna Salines, LICSW
• Melissa Salvas
• Carol Sandoval-Pezzullo
• Amanda Lynn Schiavone, M.ED
• Mark Schwager, M.D.
• Kristen Alicia Seaman, LMHC, LCDP
• Naveed Hussain Shah, MD

• Clinical Social Worker in Coventry, RI
• Providers in Coventry, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.