Active NPI
Samantha Nicole Banjany, MSW, LSW
- Social Worker
- Philadelphia, PA
National Provider Identifier
1932826534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW137882
- Practice address
- 4145 Pechin St
Philadelphia, PA 19128-3515 - Phone
- (908) 839-7060
- NPI assigned
- Oct 24, 2022
- 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 | SW137882 | PA | Primary |
Addresses
Primary practice location
4145 Pechin St
Philadelphia, PA 19128-3515
Mailing address
4145 Pechin St
Philadelphia, PA 19128-3515
Phone (908) 839-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW137882 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | accessservices.org | Access Services Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Colts Neck, NJ 07722
Phone (732) 943-6791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW137882 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Luna Counseling and Wellness Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colts Neck, NJ
- NPI 1477123917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1932826534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 PECHIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283515",
"telephone_number": "908-839-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 PECHIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283515",
"telephone_number": "908-839-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANJANY",
"first_name": "SAMANTHA",
"middle_name": "NICOLE",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SW137882",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "accessservices.org",
"affiliation": "Y",
"affiliationName": "Access Services Inc",
"address_1": "340 S Liberty St",
"city": "Orwigsburg",
"state": "PA",
"country_code": "US",
"postal_code": "179612127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.