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SAMANTHA GIBB MSW
NPI 1609256445
Social Worker - Clinical in Tumwater, WA

Active since June 07, 2015Opted out of Medicare · through Oct 1, 2027
1906 TROSPER RD SW APT G104, TUMWATER, WA 98512(801) 502-8237 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2022, Aug 23, 2018 (2 updates tracked since 2018).

About Samantha Gibb Msw NPPES

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

SAMANTHA GIBB MSW (NPI 1609256445) is an individual clinical provider in Tumwater, Washington, licensed in Utah (9857245-3501) and active in the NPI registry since June 2015. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Mccleary.

NPPES Registry Identity

NPI1609256445
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA GIBBCredential: MSW
Location Address1906 TROSPER RD SW APT G104Tumwater, WA 98512-8127
Mailing Address1906 Trosper Rd Sw Apt G104Tumwater, WA 98512-8127 · (801) 502-8237
Phone(801) 502-8237
Sole ProprietorNo
Enumeration DateJune 7, 2015
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1609256445 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 UT · 9857245-3501
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1906 TROSPER RD SW APT G104, Tumwater, WA 98512
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Secondary Practice Location 1

Location 1322 S Birch StMcCleary, WA 98557-9522 · Phone (253) 263-3632

Accepted Insurance

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

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 Gibb Msw 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-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 Samantha Gibb's NPI number?

The NPI number for Samantha Gibb is 1609256445. It was assigned to this individual provider in the NPPES registry on June 7, 2015.

Where is Samantha Gibb located?

Samantha Gibb practices at 1906 Trosper Rd SW Apt G104, Tumwater, WA 98512. The listed phone number is (801) 502-8237.

What is Samantha Gibb's specialty?

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

Is Samantha Gibb enrolled in Medicare?

No. Samantha Gibb has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samantha Gibb accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samantha Gibb 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 Samantha Gibb was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.