MARIESA JENE SAMBA
NPI 1831745967
Social Worker - Clinical in Los Angeles, CA

Q: What is Mariesa Samba's NPI number?

The NPI number for Mariesa Samba is 1831745967. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Q: What is Mariesa Samba's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariesa Samba was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 14, 2019

4601 S BROADWAY, LOS ANGELES, CA 90037(323) 234-4445(323) 682-0632 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Sep 7, 2023, Oct 5, 2021 and 1 more (4 updates tracked since 2019).

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About Mariesa Jene Samba NPPES

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

MARIESA JENE SAMBA (NPI 1831745967) is an individual clinical provider in Los Angeles, California, licensed in California (103762) and active in the NPI registry since August 2019. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1831745967

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARIESA JENE SAMBA

Location Address4601 S BROADWAYLos Angeles, CA 90037-2729

Mailing Address4601 S BroadwayLos Angeles, CA 90037-2729 · (323) 234-4445 · Fax (323) 682-0632

Phone(323) 234-4445

Fax(323) 682-0632

Sole ProprietorNo

Enumeration DateAugust 14, 2019

Last NPPES UpdateAugust 19, 20244 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1831745967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 103762

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4601 S BROADWAY, Los Angeles, CA 90037

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Secondary Practice Location 1

Location 1333 S Beaudry AveLos Angeles, CA 90017-1466 · Phone (213) 241-3841 · Fax (213) 241-3305

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.

OLIVIA MA CORWIN

Student in an Organized Health Care Education/Training Program