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KATHLEEN WALSH SAMP MSW, LICSW
NPI 1588957286
Social Worker - Clinical in Waltham, MA

Active since May 27, 2011Opted out of Medicare · through Jan 8, 2028
3 AMORY RD UNIT 3, WALTHAM, MA 02453(508) 259-0785 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2021, Aug 26, 2019 (2 updates tracked since 2019).

About Kathleen Walsh Samp Msw, Licsw NPPES

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

KATHLEEN WALSH SAMP MSW, LICSW (NPI 1588957286) is an individual clinical provider in Waltham, Massachusetts, licensed in Massachusetts (117811) and active in the NPI registry since May 2011. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1588957286
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN WALSH SAMPCredential: MSW, LICSW
Location Address3 AMORY RD UNIT 3Waltham, MA 02453-5464
Mailing Address240 Elm St Fl 2Somerville, MA 02144-2935 · (508) 259-0785
Phone(508) 259-0785
Sole ProprietorYes
Enumeration DateMay 27, 2011
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1588957286 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 MA · 117811
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.
3 AMORY RD UNIT 3, Waltham, MA 02453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kathleen Walsh Samp Msw, Licsw 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 January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kathleen Samp's NPI number?

The NPI number for Kathleen Samp is 1588957286. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Where is Kathleen Samp located?

Kathleen Samp practices at 3 Amory Rd Unit 3, Waltham, MA 02453. The listed phone number is (508) 259-0785.

What is Kathleen Samp's specialty?

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

Is Kathleen Samp enrolled in Medicare?

No. Kathleen Samp has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathleen Samp accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Samp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Samp was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.