Individual provider Active NPI

Samara Crofton Harris, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1801161609
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079345 Issued in NY
Practice address
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone
(718) 456-7001
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 Worker 1041C0700X 079345 NY Primary

Addresses

Primary practice location

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903

Mailing address

11217 75TH Ave
3Rd Floor
Forest Hills, NY 11375-5558
Phone (917) 349-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120406000069 NY Practitioner - Clinical Social Worker 1254592926 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079345NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Community Health Project Inc. Current Accepting new patients
Brooklyn Psychotherapy LCSW Services PC Clinical CurrentSince Aug 9, 2022 Accepting new patients
Advanced Psychotherapy and Behavioral Health Services LCSW PC Clinical CurrentSince Jul 15, 2024 Accepting new patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

2001 37th St
Astoria, NY 11105
Phone (347) 657-0877

40 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (212) 271-7191

40 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (718) 215-1818

111 Dahlgren Pl
Bsmt
Brooklyn, NY 11228
Phone (718) 437-5570

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

356 W 18th St
New York, NY 10011

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1801161609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 75TH AVE",
            "address_2": "3RD FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755558",
            "telephone_number": "917-349-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-456-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMARA",
        "middle_name": "CROFTON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.