Samantha Bella Blackwell, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L14937 Issued in OR

Practice address

1053 E Erie Ave
Lorain, OH 44052-2142

Phone

(440) 240-3975

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Mrs. Linda Rachelle Gordon Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Kolbe II Leasing Co., LLC

  • Psychiatric Hospital
  • Lorain, OH
  • NPI 1598160533
  Medicare reassignment NPD
• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Grafton, OH
  • NPI 1801104799
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1821277112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 E ERIE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522142",
            "telephone_number": "440-240-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 E ERIE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522142",
            "telephone_number": "440-240-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SAMANTHA",
        "middle_name": "BELLA",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21963",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L14937",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000111-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11209-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GORDON",
            "middle_name": "RACHELLE",
            "prefix": "MRS.",
            "credential": "MSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Big Brothers Big Sisters of Lorain County,Inc.
• Karin Biggs, SW
• Mary K Biltz, PT
• Barbara Ann Bingham, O.D.
• Nicole Bird
• David Blaine
• Rachael H Blair, LSW
• Tremayne Blair
• Donald Francis Blanford, M.D.
• Christina Blankenship

• Clinical Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.