SAMANTHA VALLADARES LCSW
NPI 1114348075
Social Worker - Clinical in Modesto, CA

Active since December 19, 2013PECOS Enrolled
1130 12TH ST STE C, MODESTO, CA 95354(209) 525-5373 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Aug 30, 2023, Jun 15, 2023 and 3 more (6 updates tracked since 2019).

About Samantha Valladares Lcsw NPPES

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

SAMANTHA VALLADARES LCSW (NPI 1114348075) is an individual clinical provider in Modesto, California, licensed in California (111249) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114348075
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA VALLADARESCredential: LCSW
Location Address1130 12TH ST STE CModesto, CA 95354-0834
Mailing Address1130 12th St Ste CModesto, CA 95354-0834 · (209) 525-5373
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 19, 2013
Last NPPES UpdateFebruary 27, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1114348075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 111249
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1130 12TH ST STE C, Modesto, CA 95354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Valladares Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486166154
PECOS Enrollment IDI20250626002762
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 8

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

Social Worker (Clinical)
1130 12TH ST STE C
MODESTO, CA 95354
Marriage & Family Therapist
1130 12TH ST STE C
MODESTO, CA 95354
Specialist
1130 12TH ST STE C
MODESTO, CA 95354
Specialist
1130 12TH ST STE C
MODESTO, CA 95354
Social Worker (Clinical)
1130 12TH ST STE C
MODESTO, CA 95354
Specialist
1130 12TH ST STE C
MODESTO, CA 95354
Marriage & Family Therapist
1130 12TH ST STE C
MODESTO, CA 95354
Registered Nurse (Psychiatric/Mental Health)
1130 12TH ST STE C
MODESTO, CA 95354

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 Valladares's NPI number?

The NPI number for Samantha Valladares is 1114348075. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Where is Samantha Valladares located?

Samantha Valladares practices at 1130 12th St Ste C, Modesto, CA 95354. The listed phone number is (209) 525-5373.

What is Samantha Valladares's specialty?

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

Is Samantha Valladares enrolled in Medicare?

Yes. Samantha Valladares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Valladares was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.