Active NPI
Samantha Beyer, LCSW
- Clinical Social Worker
- Lake Worth, FL
National Provider Identifier
1790400398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18726
- Practice address
- 101 S East Coast St
Lake Worth, FL 33460-4408 - Phone
- (407) 864-9755
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- 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 | 18726 | FL | Primary |
Addresses
Primary practice location
101 S East Coast St
Lake Worth, FL 33460-4408
Mailing address
101 S East Coast St Apt 220
Lake Worth, FL 33460-4414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18726 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1790400398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S EAST COAST ST APT 220",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334604414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S EAST COAST ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334604408",
"telephone_number": "407-864-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "SAMANTHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "18726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
- Beatriz Besse Beyries, REGISTERED BEHAVIOR
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- Best Hand Therapy and Physical Rehabilitation
- Bethel Medical Group
- Better Speech (speech path connections)
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- Mirlaine Bhagwandeen
- Bhakta Optometric, Inc
- Hetel Bhakta, O.D.
- BHM Home Health LLC (Right at Home Palm Beach)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.