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GENNIE SAMALA
NPI 1407304777
Social Worker - Clinical in Los Angeles, CA

Active since September 15, 2016PECOS EnrolledAccepts Medicare Assignment
515 COLUMBIA AVE STE 100, LOS ANGELES, CA 90017(213) 553-1884 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2022, Sep 14, 2017, Aug 23, 2017 and 1 more (4 updates tracked since 2016).

About Gennie Samala NPPES

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

GENNIE SAMALA (NPI 1407304777) is an individual clinical provider in Los Angeles, California, licensed in California (112414) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407304777
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGENNIE SAMALA
Location Address515 COLUMBIA AVE STE 100Los Angeles, CA 90017-1209
Mailing Address1730 W Olympic BlvdLos Angeles, CA 90015-1019 · (213) 553-1884
Phone(213) 553-1884
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 15, 2016
Last NPPES UpdateDecember 8, 20224 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1407304777 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
License✔ Licensed in CA · 112414
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 79344 (CA)
515 COLUMBIA AVE STE 100, Los Angeles, CA 90017
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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 and accepts Medicare assignment

Gennie Samala is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597139220
PECOS Enrollment IDI20230321001443
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 Gennie Samala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Special Service For Groups, Inc.
Same address
Community/Behavioral Health
515 COLUMBIA AVE STE 100
Los Angeles, CA 90017
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1629424817 (213) 553-1884

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 90017 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

JESSE RANGEL
Case Manager/Care Coordinator
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
VONNIE WEI
Day Training/Habilitation Specialist
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
WILLIAM CHAU
Counselor (Mental Health)
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
YASMIN SAUDI LCSW
Social Worker (Clinical)
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
STEPHANIE HINOJOSA
Student in an Organized Health Care Education/Training Program
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
MARIE ALVA VITA PALOMO
Social Worker
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
MIN KYUNG KIM
Social Worker (Clinical)
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884
SHALEEN SHAH
Case Manager/Care Coordinator
515 COLUMBIA AVE STE 100
LOS ANGELES, CA 90017
Los Angeles County (213) 553-1884

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 Gennie Samala's NPI number?

The NPI number for Gennie Samala is 1407304777. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Gennie Samala located?

Gennie Samala practices at 515 Columbia Ave Ste 100, Los Angeles, CA 90017. The listed phone number is (213) 553-1884.

What is Gennie Samala's specialty?

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

Is Gennie Samala enrolled in Medicare?

Yes. Gennie Samala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gennie Samala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gennie Samala reassigns Medicare benefits to Special Service For Groups, Inc. (Los Angeles, CA). 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 Gennie Samala'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 Gennie Samala was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.