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MS. JACQUELINE ISONIA SAMUDA MSW
NPI 1245374883
Social Worker - Clinical in Rockville, MD

Active since February 16, 2007Opted out of Medicare · through Aug 7, 2027
932 HUNGERFORD DR STE 36B, ROCKVILLE, MD 20850(240) 461-1551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline Isonia Samuda Msw NPPES

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

MS. JACQUELINE ISONIA SAMUDA MSW (NPI 1245374883) is an individual clinical provider in Rockville, Maryland, licensed in Maryland (10747) and active in the NPI registry since February 2007. She has opted out of Medicare through August 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245374883
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACQUELINE ISONIA SAMUDACredential: MSW
Location Address932 HUNGERFORD DR STE 36BRockville, MD 20850-1753
Mailing Address9073 Pickwick Village TerSilver Spring, MD 20901-3882 · (301) 439-2733
Phone(240) 461-1551
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245374883 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 MD · 10747
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.
932 HUNGERFORD DR STE 36B, Rockville, MD 20850
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jacqueline Isonia Samuda Msw 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 August 7, 2017 through August 7, 2027.

Opt-Out Effective DateAugust 7, 2017
Opt-Out In Effect ThroughAugust 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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.

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.

LUZ ANGELA SANDOVAL LCSW-C
Social Worker (Clinical)
932 HUNGERFORD DR STE 36B
ROCKVILLE, MD 20850
Montgomery County (240) 338-2881
MR. PAUL PATRICK HOMON LCSW-C
Social Worker (Clinical)
932 HUNGERFORD DR STE 36B
ROCKVILLE, MD 20850
Montgomery County (301) 570-7597
MARGARET PARSONS
Counselor (Mental Health)
932 HUNGERFORD DR STE 36B
ROCKVILLE, MD 20850
Montgomery County (301) 593-3143

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 Jacqueline Samuda's NPI number?

The NPI number for Jacqueline Samuda is 1245374883. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jacqueline Samuda located?

Jacqueline Samuda practices at 932 Hungerford Dr Ste 36B, Rockville, MD 20850. The listed phone number is (240) 461-1551.

What is Jacqueline Samuda's specialty?

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

Is Jacqueline Samuda enrolled in Medicare?

No. Jacqueline Samuda has opted out of Medicare through August 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacqueline Samuda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.