Individual provider Active NPI

Samantha Kay Beckmann, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1881259869
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
11105 NE 14TH St
Vancouver, WA 98684-4308
Phone
(360) 836-4254
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 Primary

Addresses

Primary practice location

11105 NE 14TH St
Vancouver, WA 98684-4308

Mailing address

11105 NE 14TH St
Vancouver, WA 98684-4308
Phone (360) 836-4254

Other names 1

  • Ms. Samantha Kay Gasper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191216001758 WA Practitioner - Clinical Social Worker 4082048590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Beckmann Mental Health LLC Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 16, 2019 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 16, 2019 Accepting new patients

Locations

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

11105 NE 14th St
Vancouver, WA 98684
Phone (360) 693-5000

Organizations & group practices 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1881259869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 NE 14TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844308",
            "telephone_number": "360-836-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 NE 14TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844308",
            "telephone_number": "360-836-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GASPER",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.