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SAMANTHA LEE DEJESUS LCSW
NPI 1164296141
Social Worker - Clinical in Springfield, VA

Active since November 10, 2023PECOS Enrolled
7606 SOUTHERN OAK DR, SPRINGFIELD, VA 22153(917) 608-3605 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Lee Dejesus Lcsw NPPES

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

SAMANTHA LEE DEJESUS LCSW (NPI 1164296141) is an individual clinical provider in Springfield, Virginia, licensed in Virginia (0904016059) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164296141
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA LEE DEJESUSCredential: LCSW
Location Address7606 SOUTHERN OAK DRSpringfield, VA 22153-3579
Mailing Address7606 Southern Oak DrSpringfield, VA 22153-3579 · (917) 608-3605
Phone(917) 608-3605
Sole ProprietorNo
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1164296141 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 VA · 0904016059
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.
7606 SOUTHERN OAK DR, Springfield, VA 22153
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Samantha Dejesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psych Associates Of Maryland LLC
58 mi
Psychologist
1447 YORK RD STE 601
Timonium, MD 21093
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 191 clinicians in this Medicare group
NPI 1891721981 (410) 823-6408

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 22153 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Dejesus's NPI number?

The NPI number for Samantha Dejesus is 1164296141. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Samantha Dejesus located?

Samantha Dejesus practices at 7606 Southern Oak Dr, Springfield, VA 22153. The listed phone number is (917) 608-3605.

What is Samantha Dejesus's specialty?

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

Is Samantha Dejesus enrolled in Medicare?

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

Which organization bills Medicare for Samantha Dejesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dejesus reassigns Medicare benefits to Psych Associates Of Maryland LLC (Timonium, 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 Dejesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Dejesus accept?

Health plans from Oscar Health list Samantha Dejesus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Dejesus was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.