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SAMANTHA JOHNSON LMSW
NPI 1710410618
Social Worker - Clinical in Bronx, NY

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2022, Apr 22, 2019, Dec 27, 2017 (3 updates tracked since 2017).

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

NPI1710410618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA JOHNSONCredential: LMSW
Location Address4419 3RD AVEBronx, NY 10457-2562
Mailing Address4419 3rd AveBronx, NY 10457-2562 · (718) 364-7700
Phone(718) 364-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2017
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1710410618 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 NY · 091799
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 093288-1 (NY)
4419 3RD AVE, Bronx, NY 10457
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 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.

PECOS PAC ID6204220072
PECOS Enrollment IDI20220222001639
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 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.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

MS. ELLEN MARY MCLEAN LCAT
Specialist/Technologist, Other (Art, Medical)
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
DINDO KRISTOFFER ZAYAS PT
Physical Therapist
4419 3RD AVE, SUITE 3A
BRONX, NY 10457
Bronx County (646) 393-5473
ELIZABETH GRACE BOYER
Art Therapist
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
GUADALUPE HERNANDEZ LCAT, ATR-BC
Art Therapist
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
DIVINA CASTILLO LCSW
Social Worker (Clinical)
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
TABITHA GONZALEZ LMHC
Counselor (Mental Health)
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
STEPHANIE VIRASAWMI M.A, ATR-BC,LCAT
Specialist/Technologist, Other (Art, Medical)
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700
KRISTINA CALDARARO LCSW
Social Worker (Clinical)
4419 3RD AVE
BRONX, NY 10457
Bronx County (718) 364-7700

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.

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.