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JENNIFER L. SAMPSON LCSW
NPI 1013216233
Social Worker - Clinical in Nutley, NJ

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
363 CENTRE ST STE 2, NUTLEY, NJ 07110(973) 287-9800 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer L. Sampson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER L. SAMPSON LCSW (NPI 1013216233) is an individual clinical provider in Nutley, New Jersey, licensed in New Jersey (44SC05490600) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1013216233
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER L. SAMPSONCredential: LCSW
Location Address363 CENTRE ST STE 2Nutley, NJ 07110-4706
Mailing Address6 Pennington CtPassaic, NJ 07055-3408
Phone(973) 287-9800
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 28, 2011
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1013216233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05490600
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
363 CENTRE ST STE 2, Nutley, NJ 07110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer L. Sampson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749586055
PECOS Enrollment IDI20160314000971
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Sampson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapy Services Of New Jersey, LLC
Same address
Clinical
363 CENTRE ST STE 2
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1417314006 (973) 287-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERAPY SERVICES OF NEW JERSEY, LLC
Social Worker (Clinical)
363 CENTRE ST STE 2
NUTLEY, NJ 07110
Essex County (973) 287-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Sampson's NPI number?

The NPI number for Jennifer Sampson is 1013216233. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Jennifer Sampson located?

Jennifer Sampson practices at 363 Centre St Ste 2, Nutley, NJ 07110. The listed phone number is (973) 287-9800.

What is Jennifer Sampson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Sampson enrolled in Medicare?

Yes. Jennifer Sampson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Sampson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sampson reassigns Medicare benefits to Therapy Services Of New Jersey, LLC (Nutley, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Sampson was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.