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SAMANTHA H NORDVOLD LCSW
NPI 1740538081
Counselor - Mental Health in Phoenix, AZ

Active since August 16, 2012PECOS Enrolled
93.37/100
CMS Quality Rating
3306 W CATALINA DR, PHOENIX, AZ 85017(602) 353-0703(602) 353-0715 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha H Nordvold Lcsw NPPES

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

SAMANTHA H NORDVOLD LCSW (NPI 1740538081) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LCSW-10724) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1740538081
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA H NORDVOLDCredential: LCSW
Location Address3306 W CATALINA DRPhoenix, AZ 85017-5291
Mailing Address4747 N 7th St Ste 100Phoenix, AZ 85014-3654 · (602) 279-7655 · Fax (602) 264-1806
Phone(602) 353-0703
Fax(602) 353-0715
Sole ProprietorNo
Enumeration DateAugust 16, 2012
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1740538081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LCSW-10724
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW10724 (AZ)
3306 W CATALINA DR, Phoenix, AZ 85017
Open in Google Maps ↗

Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-0500 · Fax (602) 933-4320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha H Nordvold Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Nordvold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc
6.1 mi
Pulmonary Disease
2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Promoting Interoperability96
Improvement Activities40
Cost62.14

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. MARTHA WHITE
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
MR. ROBERT FUSCHINI LCSW
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
CANDYCE CHAMADE CAMPBELL LMSW
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
ALICIA Y DURAN
Counselor
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
MS. DEBORAH YANCER LISAC
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
CELIA VALDEZ
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
MR. JOSE RAMOS
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703
NANCY LYNN WOOD
Counselor (Mental Health)
3306 W CATALINA DR
PHOENIX, AZ 85017
Maricopa County (602) 353-0703

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 Nordvold's NPI number?

The NPI number for Samantha Nordvold is 1740538081. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Samantha Nordvold located?

Samantha Nordvold practices at 3306 W Catalina Dr, Phoenix, AZ 85017. The listed phone number is (602) 353-0703.

What is Samantha Nordvold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Nordvold enrolled in Medicare?

Yes. Samantha Nordvold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Nordvold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Nordvold reassigns Medicare benefits to District Medical Group, Inc (Phoenix, AZ). 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 Nordvold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Nordvold accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Samantha Nordvold 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 Nordvold was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.