SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC
NPI 1841396884
Counselor - Mental Health in Scotia, NY
About Samaritan Licensed Clinical Social Work, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC (NPI 1841396884), doing business as Samaritan Counseling Center Of The Capital Region, Inc., is a healthcare organization registered as a mental health in Scotia, New York and active in the NPI registry since September 2006. The organization lists Deborah Lee Valiquette, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samaritan Licensed Clinical Social Work, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Samaritan Licensed Clinical Social Work, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samaritan Licensed Clinical Social Work, PC's NPI number?
The NPI number for Samaritan Licensed Clinical Social Work, PC is 1841396884. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider was formerly known as Samaritan Counseling Center Of The Capital Region, Inc..
Where is Samaritan Licensed Clinical Social Work, PC located?
Samaritan Licensed Clinical Social Work, PC is located at 220 North Ballston Avenue, Scotia, NY 12302. The listed phone number is (518) 374-3514.
What is Samaritan Licensed Clinical Social Work, PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samaritan Licensed Clinical Social Work, PC enrolled in Medicare?
Yes. Samaritan Licensed Clinical Social Work, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samaritan Licensed Clinical Social Work, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Samaritan Licensed Clinical Social Work, PC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (5), Marriage and Family Therapist (4) and Mental Health Counselor (4). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samaritan Licensed Clinical Social Work, PC was last updated on August 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Samaritan Licensed Clinical Social Work, Pc · NPI 1841396884
Mental Health organization in Scotia, New York. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1841396884 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Deborah Valiquette, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 220 NORTH BALLSTON AVENUE, Scotia, NY 12302-2533
- **Phone:** (518) 374-3514 · **Fax:** (518) 374-9193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Marriage and Family Therapist (4), Mental Health Counselor (4); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2009
- **Other identifiers:** Medicare PIN 52171A (NY); Medicare ID-Type Unspecified 52171A (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1841396884) · Data from the CMS NPPES public registry.