Active NPI
Samantha Schwartz, LCSW-C
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1912982869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12003
- Practice address
- 610 Professional Dr
Ste 255
Gaithersburg, MD 20879-3413 - Phone
- (240) 683-6202
- Fax
- (240) 683-6203
- NPI assigned
- Dec 14, 2005
- Last updated
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 12003 | MD | Primary |
Addresses
Primary practice location
610 Professional Dr
Ste 255
Gaithersburg, MD 20879-3413
Mailing address
610 Professional Dr
Ste 255
Gaithersburg, MD 20879-3413
Phone (240) 683-6202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407034800 | Medicaid | MD | |
| 405614100 | Medicaid | MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Ridge Behavioral Health, LLC | Past | Accepting new patients | |
| Narayanan Ramesh MD PA | Past | Accepting new patients | |
| Gaithersburg Mental Health Associates, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Child & Adolescent Psychiatry Physician
- Gaithersburg, MD
- NPI 1700112083
-
- Neurology Physician
- Rockville, MD
- NPI 1407088339
-
dba Green Ridge Behavioral Health
- Psychiatry Physician
- Gaithersburg, MD
- NPI 1497769616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1912982869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 PROFESSIONAL DR",
"address_2": "STE 255",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793413",
"telephone_number": "240-683-6202",
"fax_number": "240-683-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 PROFESSIONAL DR",
"address_2": "STE 255",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793413",
"telephone_number": "240-683-6202",
"fax_number": "240-683-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "SAMANTHA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407034800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405614100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.