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MRS. SAMANTHA NUSOM LCSW
NPI 1255945101
Social Worker - Clinical in Camden, NJ

Active since September 08, 2020Opted out of Medicare · through Sep 16, 2026
100/100
CMS Quality Rating
1000 ATLANTIC AVE, CAMDEN, NJ 08104(856) 246-3542(856) 246-3021 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Mar 5, 2021, Jan 22, 2021 and 1 more (4 updates tracked since 2020).

About Mrs. Samantha Nusom Lcsw NPPES

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

MRS. SAMANTHA NUSOM LCSW (NPI 1255945101) is an individual clinical provider in Camden, New Jersey, licensed in New Jersey (44SC05899700) and active in the NPI registry since September 2020. She has opted out of Medicare through September 16, 2026.

NPPES Registry Identity

NPI1255945101
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SAMANTHA NUSOMCredential: LCSW
Location Address1000 ATLANTIC AVECamden, NJ 08104-1132
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 246-3542
Fax(856) 246-3021
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1255945101 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 NJ · 44SC05899700
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.
1000 ATLANTIC AVE, Camden, NJ 08104
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Other Names 1

Former Name (1)Miss Samantha Noguera

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Samantha Nusom Lcsw 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 September 16, 2024 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2024
Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. JULIUS BROOKS M.D
Family Medicine
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3542
NATASHA HALYARD FNP
Nurse Practitioner (Family)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3542
VICTOR KIM DMD
Student in an Organized Health Care Education/Training Program
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (732) 801-3084
PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
Clinic/Center (Medically Fragile Infants and Children Day Care)
1000 ATLANTIC AVE, CAMDEN D, 2ND FLOOR
CAMDEN, NJ 08104
Camden County (856) 338-0900
EXCEL - CFGHS
Psychiatric Residential Treatment Facility
1000 ATLANTIC AVE, 4TH FLOOR
CAMDEN, NJ 08104
Camden County (856) 983-3900
MARK BAMPTON OD
Optometrist
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (805) 208-8614
DR. ARALA L. COHEN DPM
Podiatrist (Foot & Ankle Surgery)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3543
DR. TEJAL VOHERA D.M.D
Dentist (General Practice)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3545

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 Nusom's NPI number?

The NPI number for Samantha Nusom is 1255945101. It was assigned to this individual provider in the NPPES registry on September 8, 2020. The provider is also known as Miss Samantha Noguera.

Where is Samantha Nusom located?

Samantha Nusom practices at 1000 Atlantic Ave, Camden, NJ 08104. The listed phone number is (856) 246-3542.

What is Samantha Nusom's specialty?

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

Is Samantha Nusom enrolled in Medicare?

No. Samantha Nusom has opted out of Medicare through September 16, 2026. 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 Nusom was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.