SAMANTHA C CUNNINGHAM LCSW
NPI 1386195139
Social Worker - Clinical in Portland, OR

Q: What is Samantha Cunningham's NPI number?

The NPI number for Samantha Cunningham is 1386195139. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Q: What is Samantha Cunningham's specialty?

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

Active since October 17, 2016PECOS Enrolled

10920 SW BARBUR BLVD, PORTLAND, OR 97219(541) 687-1110 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Jul 25, 2023, Dec 7, 2020 and 1 more (4 updates tracked since 2016).

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About Samantha C Cunningham Lcsw NPPES

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

SAMANTHA C CUNNINGHAM LCSW (NPI 1386195139) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L7991) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386195139

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA C CUNNINGHAMCredential: LCSW

Location Address10920 SW BARBUR BLVDPortland, OR 97219-8600

Mailing Address10920 Sw Barbur BlvdPortland, OR 97219-8600 · (541) 687-1110

Phone(541) 687-1110

Sole ProprietorNo

Enumeration DateOctober 17, 2016

Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1386195139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in OR · L7991✔ Licensed in WA · LW61371985

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60630652 (WA)

10920 SW BARBUR BLVD, Portland, OR 97219

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Other Identifiers 1

Medicaid500717085OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha C Cunningham 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

Medicare enrollment records show Samantha Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Community Services Northwest

7.2 mi

Mental Health (Including Community Mental Health Center)

605 SE CESAR E CHAVEZ BLVD
Portland, OR 97214

Reassigned Medicare billing, Oregon enrollment
20 clinicians in this Medicare group

NPI 1326056433 (503) 231-7480

Valera Medical, P.A.

2,451 mi

Psychiatry

134 N 4TH ST
Brooklyn, NY 11249

Reassigned Medicare billing, Vermont enrollment
Medicare enrollment name: Valera Medical PA
21 clinicians in this Medicare group

NPI 1871248757 (646) 450-7748

Valera Medical, P.C.

2,451 mi

Psychiatry

134 N 4TH ST
Brooklyn, NY 11249

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Valera Medical PC
4 clinicians in this Medicare group

NPI 1437782349 (646) 450-7748

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 97219 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 $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 20

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

EDIBEN YOONAN

Counselor (Addiction (Substance Use Disorder))