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KYMBERLY ANGELINA MCPHERSON SAMPSON LCSW
NPI 1851040042
Social Worker - Clinical in Snellville, GA

Active since March 23, 2022PECOS Enrolled
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039(770) 978-9393(770) 978-9324 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Dec 16, 2025, Jul 25, 2023 and 1 more (4 updates tracked since 2023).

About Kymberly Angelina Mcpherson Sampson Lcsw NPPES

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

KYMBERLY ANGELINA MCPHERSON SAMPSON LCSW (NPI 1851040042) is an individual clinical provider in Snellville, Georgia, licensed in Georgia (CSW007999) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851040042
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYMBERLY ANGELINA MCPHERSON SAMPSONCredential: LCSW
Location Address3991 HIGHWAY 78 W STE 203Snellville, GA 30039-3929
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(770) 978-9393
Fax(770) 978-9324
Sole ProprietorYes
Enumeration DateMarch 23, 2022
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1851040042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW007999
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.
3991 HIGHWAY 78 W STE 203, Snellville, GA 30039
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kymberly Angelina Mcpherson Sampson 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 Reassignments

2

Medicare enrollment records show Kymberly Sampson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revere Counseling And Care Management LLC
13 mi
Social Worker
235 E PONCE DE LEON AVE STE 330
Decatur, GA 30030
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1114429412 (404) 281-5422
Personal Recovery Network LLC
24 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 30039 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIONEL J SMITH
Social Worker (Clinical)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
KAREN NGUYEN GRAY PA-C
Physician Assistant
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
ZICOLE BROWNE DO
Psychiatry & Neurology (Psychiatry)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
CHARLES PEGUY GUILLAUME PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
HAWAH COMFORT GUAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
JACKIE N MARSHALL-MARTIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
MRS. JUANITA M BENTLEY LPC
Counselor (Professional)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393
COURTNEY JE'VON WOODARD LPC
Counselor (Professional)
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 30039
Gwinnett County (770) 978-9393

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 Kymberly Sampson's NPI number?

The NPI number for Kymberly Sampson is 1851040042. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Kymberly Sampson located?

Kymberly Sampson practices at 3991 Highway 78 W Ste 203, Snellville, GA 30039. The listed phone number is (770) 978-9393.

What is Kymberly Sampson's specialty?

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

Is Kymberly Sampson enrolled in Medicare?

Yes. Kymberly Sampson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kymberly Sampson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kymberly Sampson reassigns Medicare benefits to 2 organizations: Revere Counseling And Care Management LLC (Decatur, GA) and Personal Recovery Network LLC (Stockbridge, GA). Each 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 Kymberly Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kymberly Sampson accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Kymberly Sampson 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 Kymberly Sampson was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.