SAMANTHA VASQUEZ LCAQ
NPI 1235607623
Social Worker - Clinical in New York, NY

Active since November 05, 2018Opted out of Medicare · through Apr 16, 2028
1468 MADISON AVE. ANNENBERG BUILDING, 4TH FLOOR, BLAU CENTER FOR CHILDREN'S CANCER AND BLOOD DISEASE, NEW YORK, NY 10029(212) 241-6880(646) 537-8929 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Vasquez Lcaq NPPES

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

SAMANTHA VASQUEZ LCAQ (NPI 1235607623) is an individual clinical provider in New York, New York, licensed in New York (086848-1) and active in the NPI registry since November 2018. She has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1235607623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA VASQUEZCredential: LCAQ
Location Address1468 MADISON AVE. ANNENBERG BUILDING, 4TH FLOOR, BLAU CENTER FOR CHILDREN'S CANCER AND BLOOD DISEASENew York, NY 10029
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504 · (212) 241-6880 · Fax (646) 537-8929
Fax(646) 537-8929
Sole ProprietorYes
Enumeration DateNovember 5, 2018
NPI 1235607623 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 NY · 086848-1
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.

1468 MADISON AVE. ANNENBERG BUILDING, 4TH FLOOR, New York, NY 10029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Samantha Vasquez Lcaq has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2026 through April 16, 2028.

Opt-Out Effective DateApril 16, 2026
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Vasquez's NPI number?

The NPI number for Samantha Vasquez is 1235607623. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Samantha Vasquez located?

Samantha Vasquez practices at 1468 Madison Ave. Annenberg Building, 4th Floor Blau Center For Children's Cancer And Blood Disease, New York, NY 10029. The listed phone number is (212) 241-6880.

What is Samantha Vasquez's specialty?

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

Is Samantha Vasquez enrolled in Medicare?

No. Samantha Vasquez has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Vasquez was last updated on November 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.