SAMANTHA KIRK
NPI 1316466923
Social Worker - Clinical in Brookline, MA

Q: What is Samantha Kirk's NPI number?

The NPI number for Samantha Kirk is 1316466923. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Q: What is Samantha Kirk's specialty?

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

Q: Is Samantha Kirk enrolled in Medicare?

No. Samantha Kirk has opted out of Medicare through May 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samantha Kirk was last updated on July 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2017Opted out of Medicare · through May 22, 2027

41 GARRISON RD, BROOKLINE, MA 02445(617) 277-8107 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2020, Sep 14, 2017 (2 updates tracked since 2017).

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About Samantha Kirk NPPES

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

SAMANTHA KIRK (NPI 1316466923) is an individual clinical provider in Brookline, Massachusetts and active in the NPI registry since September 2017. She has opted out of Medicare through May 22, 2027.

NPPES Registry Identity

NPI1316466923

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA KIRK

Location Address41 GARRISON RDBrookline, MA 02445-4445

Mailing Address41 Garrison RdBrookline, MA 02445-4445 · (617) 277-8107

Phone(617) 277-8107

Sole ProprietorYes

Enumeration DateSeptember 14, 2017

Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1316466923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

41 GARRISON RD, Brookline, MA 02445

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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

Samantha Kirk 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 May 22, 2023 through May 22, 2027.

Opt-Out Effective DateMay 22, 2023

Opt-Out In Effect ThroughMay 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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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.

JULIANA YOO

Student in an Organized Health Care Education/Training Program