Individual provider Active NPI

Samuel K Schrager, LICSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1922505049
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124007 Issued in MA
Practice address
100 North Street
Suite 405, Mailbox #14
Pittsfield, MA 01201-5128
Phone
(413) 356-1606
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 124007 MA Primary

Addresses

Primary practice location

100 North Street
Suite 405, Mailbox #14
Pittsfield, MA 01201-5128

Mailing address

100 North St
Suite 405, Mailbox #14
Pittsfield, MA 01201-5128
Phone (413) 356-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20211014001447 MA Practitioner - Clinical Social Worker 4981002391 Practice locations: Pittsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 N St
Pittsfield, MA 01201-5128
Phone (413) 356-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124007MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc Past Accepting new patients
Rehabilitation Support Services, Inc Past Accepting new patients

Organizations & group practices 2

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1922505049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ST",
            "address_2": "SUITE 405, MAILBOX #14",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015128",
            "telephone_number": "413-356-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH STREET",
            "address_2": "SUITE 405, MAILBOX #14",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015128",
            "telephone_number": "413-356-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAGER",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.