Active NPI
Samantha Kost, MSW, LISW
- Clinical Social Worker
- Medina, OH
National Provider Identifier
1811333040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1502379-SUPV
- Practice address
- 246 Northland Dr Ste 200a
Medina, OH 44256-3440 - Phone
- (330) 725-9195
- NPI assigned
- May 15, 2013
- Last updated
- Feb 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1502379-SUPV | OH | Primary |
| Clinical Social Worker | 1041C0700X | S1201332 | OH |
Addresses
Primary practice location
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Mailing address
202 E Bagley Rd
Berea, OH 44017-2058
Other practice location 1
3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone (216) 407-3476
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LE-00030583 | Other | LICENSE | |
| I.1502379-SUPV | Other | LICENSE | |
| 0172970 | Medicaid | OH |
Other names 1
- Samantha Kauf
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1502379-SUPV | OH | MD | Clinical Social Worker |
| S1201332 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1811333040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440172058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NORTHLAND DR STE 200A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563440",
"telephone_number": "330-725-9195"
}
],
"practiceLocations": [
{
"address_1": "3500 Carnegie Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441152641",
"country_code": "US",
"telephone_number": "216-407-3476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOST",
"first_name": "SAMANTHA",
"credential": "MSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1502379-SUPV",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1201332",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LE-00030583",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "I.1502379-SUPV",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0172970",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "KAUF",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.