SAMANTHA OSTENDORP LCSW
NPI 1639832496
Social Worker - Clinical in Fort Worth, TX

Q: What is Samantha Ostendorp's NPI number?

The NPI number for Samantha Ostendorp is 1639832496. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Q: What is Samantha Ostendorp's specialty?

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

Active since October 19, 2021PECOS EnrolledAccepts Medicare Assignment

3840 HULEN ST, FORT WORTH, TX 76107(817) 335-3022 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 26, 2025, Nov 11, 2021, Oct 19, 2021 (3 updates tracked since 2021).

On this page

About Samantha Ostendorp Lcsw NPPES

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

SAMANTHA OSTENDORP LCSW (NPI 1639832496) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (104398) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639832496

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA OSTENDORPCredential: LCSW

Location Address3840 HULEN STFort Worth, TX 76107-7277

Mailing AddressPo Box 2603Fort Worth, TX 76113-2603

Phone(817) 335-3022

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 19, 2021

Last NPPES UpdateDecember 26, 20253 updates tracked since enumeration

NPPES CertifiedDecember 26, 2025

✔ NPI 1639832496 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 TX · 104398

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 ListedSocial WorkerTaxonomy 104100000X · License 104398 (TX)

3840 HULEN ST, Fort Worth, TX 76107

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Ostendorp Lcsw 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 ID3173009966

PECOS Enrollment IDI20260112001844

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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 $56.47 – $171.07

Typical copayment $0.00 (range $14.11 – $42.76)

Most-billed visit code NA

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

ALLISON CONKLIN RDLD

Dietitian, Registered