SAMANTHA JEAN CALLISTER LMSW. CASAC-M
NPI 1306356951
Counselor in Baldwin, NY

Active since October 10, 2017
2250 GRAND AVE, BALDWIN, NY 11510(631) 200-1669(631) 302-6641 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Jean Callister Lmsw. Casac-m NPPES

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

SAMANTHA JEAN CALLISTER LMSW. CASAC-M (NPI 1306356951) is an individual counselor in Baldwin, New York, licensed in New York (33173) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1306356951
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA JEAN CALLISTERCredential: LMSW. CASAC-M
Location Address2250 GRAND AVEBaldwin, NY 11510-3109
Mailing Address2250 Grand AveBaldwin, NY 11510-3109 · (516) 200-1669 · Fax (631) 302-6641
Fax(631) 302-6641
Sole ProprietorYes
Enumeration DateOctober 10, 2017
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1306356951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NY · 33173
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2250 GRAND AVE, Baldwin, NY 11510

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
2250 GRAND AVE
BALDWIN, NY 11510
Social Worker
2250 GRAND AVE
BALDWIN, NY 11510

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 Callister's NPI number?

The NPI number for Samantha Callister is 1306356951. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Samantha Callister located?

Samantha Callister practices at 2250 Grand Ave, Baldwin, NY 11510. The listed phone number is (631) 200-1669.

What is Samantha Callister's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Samantha Callister was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.