Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMSON KERNISANT
NPI 1154217222
Social Worker - Clinical in Brockton, MA

Active since June 16, 2025
425 PLEASANT ST STE 104, BROCKTON, MA 02301(508) 269-9695(508) 425-3048 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Jun 16, 2025 (2 updates tracked since 2025).

About Samson Kernisant NPPES

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

SAMSON KERNISANT (NPI 1154217222) is an individual clinical provider in Brockton, Massachusetts and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1154217222
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMSON KERNISANT
Location Address425 PLEASANT ST STE 104Brockton, MA 02301-2533
Mailing Address425 Pleasant St Ste 104Brockton, MA 02301-2533 · (508) 269-9695 · Fax (508) 425-3048
Fax(508) 425-3048
Sole ProprietorNo
Enumeration DateJune 16, 2025
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1154217222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
425 PLEASANT ST STE 104, Brockton, MA 02301

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301
Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301
Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301

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 Samson Kernisant's NPI number?

The NPI number for Samson Kernisant is 1154217222. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Samson Kernisant located?

Samson Kernisant practices at 425 Pleasant St Ste 104, Brockton, MA 02301. The listed phone number is (508) 269-9695.

What is Samson Kernisant's specialty?

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

When was this NPI record last updated?

The NPPES record for Samson Kernisant was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.