Samantha Marie Sawyers, MS, CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Brambleton, VA

NPI 1992494397 · NPPES record last updated May 2, 2023

Key facts

NPI
1992494397
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2204001110 (VA)
Practice address
42382 Rising Moon PL
Brambleton, VA 20148-5703
Phone
(571) 207-8850
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2204001110VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Hands Pediatric Therapy Speech-Language Pathologist Past
since May 7, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 2204001110 VA Yes

Addresses

Primary practice location

42382 Rising Moon PL
Brambleton, VA 20148-5703

Mailing address

14395 Slatemore CT
Haymarket, VA 20169-3296
Phone (703) 474-4762

Other providers in Brambleton, VA

All providers in Brambleton, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.