Individual provider Active NPI

Samantha Nicole Banjany, MSW, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1932826534
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW137882 Issued in PA
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

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SW137882MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721003677 NJ Practitioner - Clinical Social Worker 1951817568 Reassigns benefits to 1 organization

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
La Luna Counseling and Wellness IncGroup PAC ID 7113442708, 7 clinicians

Practice addresses (Care Compare)

Colts Neck, NJ 07722
Phone (732) 943-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW137882PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
La Luna Counseling and Wellness Inc CurrentSince Jun 20, 2025 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": "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

Verify at the official NPI Registry.