Samantha Sprung, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1215 George Towne Dr
Pewaukee, WI 53072-2731

Phone

(262) 691-3849

Fax

(262) 691-4287

NPI assigned

Jul 27, 2016

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

Other identifiers 1

Other names 1

• Samantha Hastings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Roots Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oconomowoc, WI
  • NPI 1306415203
  NPD Authorized official
• Children's Medical Group

  dba Pewaukee Pediatrics

  • Pediatrics Physician
  • Pewaukee, WI
  • NPI 1457662074

  Social Worker

  NPD
• Washington County Wisconsin

  dba Washington County Human Services Mental Health Center

  • Community/Behavioral Health Agency
  • West Bend, WI
  • NPI 1609801778
  NPD

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1902359839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE TOWNE DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722731",
            "telephone_number": "262-691-3849",
            "fax_number": "262-691-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNG",
        "first_name": "SAMANTHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902359839",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HASTINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen A. Snider
• Susan Mary Sobczynski
• Soleo Health Inc.
• Soulutions Counseling Services
• Kylie E Sprecher, MS CCC-SLP
• Alexa Danielle Staleos, RN
• Thomas Scott Stanwyck, M.D.
• Rachel Steele
• Kelley Marie Steeves
• Ryan Stefanczyk, MD

• Social Worker in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.