Samantha Myers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

443 Co-105
Palmer Lake, CO 80133

Phone

(719) 602-0914

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1891389482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62164",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809622164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 CO-105",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "80133",
            "telephone_number": "719-602-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7353 Sisters Grv",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232615",
            "country_code": "US",
            "telephone_number": "719-444-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marsh, MA, LAC, LPC
• Jodi Rae Mathison, LPC
• Elissa Marie Mendieta, LAC
• Danielle Monette, COTA
• Monumental Therapy Group PLLC
• Birgitte Darum Pegues, RNFA
• Donald Albert Peterson, DC
• Amanda Jessica Phillips, ACD.0002692
• Veronica Ann Phillips, SOCIAL WORKER
• Tina Piantidosi-Hall, LCSW

• Clinical Social Worker in Palmer Lake, CO
• Providers in Palmer Lake, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.