MRS. SAMANTHA BROOKE JEFFERSON LCSW-C
NPI 1033750773
Social Worker in Baltimore, MD
About Mrs. Samantha Brooke Jefferson Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA BROOKE JEFFERSON LCSW-C (NPI 1033750773) is an individual social worker in Baltimore, Maryland, licensed in Maryland (173371) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
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
Mrs. Samantha Brooke Jefferson Lcsw-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Jefferson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, Maryland enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21214
BALTIMORE, MD 21214
BALTIMORE, MD 21214
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 Samantha Jefferson's NPI number?
The NPI number for Samantha Jefferson is 1033750773. It was assigned to this individual provider in the NPPES registry on October 3, 2019.
Where is Samantha Jefferson located?
Samantha Jefferson practices at 5807 Harford Rd, Baltimore, MD 21214. The listed phone number is (410) 444-2100.
What is Samantha Jefferson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Samantha Jefferson enrolled in Medicare?
Yes. Samantha Jefferson 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 Samantha Jefferson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jefferson reassigns Medicare benefits to Associated Behavioral Health Services, LLC (MD). 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 Samantha Jefferson'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 Samantha Jefferson was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Samantha Brooke Jefferson, LCSW-C · NPI 1033750773
Social Worker provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 3, 2019.
## Identity
- **NPI:** 1033750773 (Entity type: Individual)
- **Enumerated:** October 3, 2019
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 173371 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5807 HARFORD RD, Baltimore, MD 21214-1895
- **Phone:** (410) 444-2100 · **Fax:** (410) 426-1140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Behavioral Health Services, LLC (MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 3, 2019
- **Other identifiers:** Medicaid 000000 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1033750773) · Data from the CMS NPPES public registry.