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MISS SAMANTHA JANE PLATTA LCSW
NPI 1396212726
Social Worker - Clinical in Roswell, GA

Active since October 24, 2018PECOS Enrolled
401 BOMBAY LN, ROSWELL, GA 30076(770) 664-1920 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Samantha Jane Platta Lcsw NPPES

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

MISS SAMANTHA JANE PLATTA LCSW (NPI 1396212726) is an individual clinical provider in Roswell, Georgia, licensed in Georgia (CSW006606) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Metter.

NPPES Registry Identity

NPI1396212726
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS SAMANTHA JANE PLATTACredential: LCSW
Location Address401 BOMBAY LNRoswell, GA 30076-5826
Mailing Address133 Daytona DrBloomingdale, GA 31302-4855 · (157) 043-6513
Phone(770) 664-1920
Sole ProprietorYes
Enumeration DateOctober 24, 2018
✔ NPI 1396212726 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 GA · CSW006606
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.
401 BOMBAY LN, Roswell, GA 30076
Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 Washington StMetter, GA 30439-3809 · Phone (570) 436-5133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Samantha Jane Platta 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 Reassignment

Medicare enrollment records show Samantha Platta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Outreach, LLC
234 mi
Psychiatry
7130 HODGSON MEMORIAL DR STE 101
Savannah, GA 31406
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1902128929 (912) 355-3881

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 30076 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 7

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

SHEILA WOODALL MS
Counselor (Mental Health)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920
TONY ELLIOTT
Counselor (Mental Health)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920
JOEL I KIRSON M.D.
Psychiatry & Neurology (Psychiatry)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920
MRS. ALLISON CHRISTINE EVANS LPC
Counselor (Mental Health)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (704) 664-1920
CARENOW SERVICES, LLC
Community/Behavioral Health
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920
MAUREEN OGBU NP
Nurse Practitioner (Family)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920
ANGELA BLANCO MANDEL LCSW
Social Worker (Clinical)
401 BOMBAY LN
ROSWELL, GA 30076
Fulton County (770) 664-1920

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 Platta's NPI number?

The NPI number for Samantha Platta is 1396212726. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Samantha Platta located?

Samantha Platta practices at 401 Bombay Ln, Roswell, GA 30076. The listed phone number is (770) 664-1920.

What is Samantha Platta's specialty?

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

Is Samantha Platta enrolled in Medicare?

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

Which organization bills Medicare for Samantha Platta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Platta reassigns Medicare benefits to Georgia Outreach, LLC (Savannah, GA). The 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 Platta'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 Platta was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.