Individual provider Active NPI

Samantha Meilman, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1972002046
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19164 Issued in MD
Practice address
550 N Broadway Ste 305
Baltimore, MD 21205-2004
Phone
(410) 502-2586
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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 19164 MD Primary

Addresses

Primary practice location

550 N Broadway Ste 305
Baltimore, MD 21205-2004

Mailing address

550 N Broadway Ste 305
Baltimore, MD 21205-2004
Phone (410) 502-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180226000895 MD Practitioner - Clinical Social Worker 3577824085 Reassigns benefits to 2 organizations
I20230203000706 IN Practitioner - Clinical Social Worker 3577824085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19164MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 31, 2023 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2018 Accepting new patients
Johns Hopkins University Clinical CurrentSince Mar 1, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

5505 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0756

Organizations & group practices 4

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1972002046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N BROADWAY STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052004",
            "telephone_number": "410-502-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N BROADWAY STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052004",
            "telephone_number": "410-502-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILMAN",
        "first_name": "SAMANTHA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.