SAMANTHA FORCHIONE LISW
NPI 1184187817
Social Worker - Clinical in Shelby, OH

Q: What is Samantha Forchione's NPI number?

The NPI number for Samantha Forchione is 1184187817. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Samantha Forchione's specialty?

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

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

2775 STATE ROUTE 39, SHELBY, OH 44875(419) 747-3322 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 12, 2023, Apr 10, 2019 (2 updates tracked since 2019).

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About Samantha Forchione Lisw NPPES

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

SAMANTHA FORCHIONE LISW (NPI 1184187817) is an individual clinical provider in Shelby, Ohio, licensed in Ohio (I.2203943) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184187817

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA FORCHIONECredential: LISW

Location Address2775 STATE ROUTE 39Shelby, OH 44875-9466

Mailing Address2775 State Route 39Shelby, OH 44875-9466 · (419) 747-3322

Phone(419) 747-3322

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2023

✔ NPI 1184187817 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 OH · I.2203943

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 ListedSocial WorkerTaxonomy 104100000X · License S.1600650 (OH)

2775 STATE ROUTE 39, Shelby, OH 44875

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Forchione Lisw 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 ID2264879428

PECOS Enrollment IDI20240322003055

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44875 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

JENNIFER HORN CDCA

Counselor (Addiction (Substance Use Disorder))