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SAMANTHA A FANTAUZZI LCSW
NPI 1306435664
Social Worker - Clinical in West Islip, NY

Active since January 12, 2021PECOS Enrolled
810 SOUTHSIDE AVE, WEST ISLIP, NY 11795(516) 592-1971 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2024, Jan 12, 2021 (2 updates tracked since 2021).

About Samantha A Fantauzzi Lcsw NPPES

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

SAMANTHA A FANTAUZZI LCSW (NPI 1306435664) is an individual clinical provider in West Islip, New York, licensed in New York (098990) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306435664
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA A FANTAUZZICredential: LCSW
Location Address810 SOUTHSIDE AVEWest Islip, NY 11795-1420
Mailing Address810 Southside AveWest Islip, NY 11795-1420 · (516) 592-1971
Phone(516) 592-1971
Sole ProprietorNo
Enumeration DateJanuary 12, 2021
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1306435664 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 · 098990
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.
810 SOUTHSIDE AVE, West Islip, NY 11795
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha A Fantauzzi Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Fantauzzi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Island Select Healthcare, Inc.
6.1 mi
Federally Qualified Health Center (FQHC)
159 CARLETON AVE
Central Islip, NY 11722
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1043663107 (631) 650-2510
Neighborhood Psychiatric Associates Of Manhattan PLLC
37 mi
Psychiatry
32 UNION SQ E STE 300
New York, NY 10003
  • Reassigned Medicare billing, New York enrollment
  • 62 clinicians in this Medicare group
NPI 1831576735 (929) 329-3887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Fantauzzi's NPI number?

The NPI number for Samantha Fantauzzi is 1306435664. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Samantha Fantauzzi located?

Samantha Fantauzzi practices at 810 Southside Ave, West Islip, NY 11795. The listed phone number is (516) 592-1971.

What is Samantha Fantauzzi's specialty?

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

Is Samantha Fantauzzi enrolled in Medicare?

Yes. Samantha Fantauzzi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Fantauzzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Fantauzzi reassigns Medicare benefits to 2 organizations: Long Island Select Healthcare, Inc. (Central Islip, NY) and Neighborhood Psychiatric Associates Of Manhattan PLLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Fantauzzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Fantauzzi was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.