Active NPI
Patricia Anne Muroski-Samul, LCSW
- Clinical Social Worker
- Oswego, NY
National Provider Identifier
1902817455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R040980-1
- Practice address
- 33 E Schuyler St
Oswego, NY 13126-1161 - Phone
- (315) 343-6974
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R040980-1 | NY | Primary |
Addresses
Primary practice location
33 E Schuyler St
Oswego, NY 13126-1161
Mailing address
14153 Shortcut Rd
Sterling, NY 13156-3159
Phone (315) 947-5446
Other practice location 1
96 East Bridge Street
Oswego, NY 13126
Phone (315) 343-8246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02199026 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R040980-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia a. Muroski-Samul, LCSW, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1902817455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14153 SHORTCUT RD",
"city": "STERLING",
"state": "NY",
"postal_code": "131563159",
"telephone_number": "315-947-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 E SCHUYLER ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261161",
"telephone_number": "315-343-6974"
}
],
"practiceLocations": [
{
"address_1": "96 East Bridge Street",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "13126",
"country_code": "US",
"telephone_number": "315-343-8246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUROSKI-SAMUL",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R040980-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02199026",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.