Samantha Johnson, LICSW
Individual provider Active NPI Clinical Social Worker · Rindge, NH
NPI 1922767516 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1922767516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000227568 (MA)
- Practice address
- 11 Blakeville Rd
Rindge, NH 03461-5100 - Phone
- (978) 870-6421
- NPI assigned
- Dec 11, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000227568 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 000227568 | MA | |
| Clinical Social Worker | 1041C0700X | 000227568 | MA | Yes |
Addresses
Primary practice location
11 Blakeville Rd
Rindge, NH 03461-5100
Mailing address
11 Blakeville Rd
Rindge, NH 03461-5100
Other providers in Rindge, NH
- Heidi Lynn Hollenbeck
- Christopher R Hudson
- Makina Itchkavich-Levasseur
- Liane Elisabeth Jablonski
- Jennifer a Charland DMD PLLC
- Breanna I Kender
- Colby Lamson
- Christine Lee Levreault
- Sudheer Mantena
- Fay J Migotsky
All providers in Rindge, NH · Clinical Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.