Samantha Stermon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95588 Issued in CA

Practice address

1701 Mission Ave Ste 210
Oceanside, CA 92058-7110

Phone

(760) 712-3535

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD
• Psycare Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1811927106
  NPD
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • Oceanside, CA
  • NPI 1174746838
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1851811020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 S EL CAMINO REAL STE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE STE 210",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587110",
            "telephone_number": "760-712-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 S El Camino Real Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546209",
            "country_code": "US",
            "telephone_number": "760-721-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERMON",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW77830",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Stepanek, DDS
• Alejandra Stepensky, PCCI
• Stephen Derrington, DO Inc
• Antonia Sterbenz, LMFT
• Jennifer Sterling
• Colleen Dorothy Stern, CCC-SLP
• Eric Stevens
• Jamie Stevens
• Stephanie Elizabeth Stevenson-Lee, AUD
• William Crisman Stevenson, DDS

• Clinical Social Worker in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.