SAMANTHA JOHNSON LMSW
NPI 1710410618
Social Worker - Clinical in Bronx, NY
About Samantha Johnson Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JOHNSON LMSW (NPI 1710410618) is an individual clinical provider in Bronx, New York, licensed in New York (091799) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Samantha Johnson Lmsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10460
- Reassigned Medicare billing, New York enrollment
- 197 clinicians in this Medicare group
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 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10457
BRONX, NY 10457
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 Johnson's NPI number?
The NPI number for Samantha Johnson is 1710410618. It was assigned to this individual provider in the NPPES registry on April 6, 2017.
Where is Samantha Johnson located?
Samantha Johnson practices at 4419 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 364-7700.
What is Samantha Johnson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samantha Johnson enrolled in Medicare?
Yes. Samantha Johnson 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 Samantha Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Johnson reassigns Medicare benefits to Urban Health Plan, Inc (Bronx, NY). 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 Johnson'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 Johnson was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Johnson, LMSW · NPI 1710410618
Clinical provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 6, 2017.
## Identity
- **NPI:** 1710410618 (Entity type: Individual)
- **Enumerated:** April 6, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 091799 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4419 3RD AVE, Bronx, NY 10457-2562
- **Phone:** (718) 364-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Urban Health Plan, Inc (NPI 1568518611, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710410618) · Data from the CMS NPPES public registry.