SAMANTHA J BROCKMEYER LISW
NPI 1962980888
Social Worker - Clinical in North Olmsted, OH

Q: What is Samantha Brockmeyer's NPI number?

The NPI number for Samantha Brockmeyer is 1962980888. It was assigned to this individual provider in the NPPES registry on August 2, 2018. The provider is also known as Samantha Jo Brockmeyer Lisw.

Q: What is Samantha Brockmeyer's specialty?

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

Active since August 02, 2018PECOS EnrolledAccepts Medicare Assignment

25111 COUNTRY CLUB BLVD STE 290, NORTH OLMSTED, OH 44070(216) 468-5000 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2026, Nov 7, 2025, Jul 13, 2020 and 2 more (5 updates tracked since 2018).

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About Samantha J Brockmeyer Lisw NPPES

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

SAMANTHA J BROCKMEYER LISW (NPI 1962980888) is an individual clinical provider in North Olmsted, Ohio, licensed in Ohio (I.2507429) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962980888

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA J BROCKMEYERCredential: LISW

Location Address25111 COUNTRY CLUB BLVD STE 290North Olmsted, OH 44070-5330

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(216) 468-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 2, 2018

Last NPPES UpdateMarch 25, 20265 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1962980888 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 OH · I.2507429

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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.169590 (OH)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

25111 COUNTRY CLUB BLVD STE 290, North Olmsted, OH 44070

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Other Names 1

Former Name (1)Samantha Jo Brockmeyer Lisw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 J Brockmeyer Lisw 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 ID3274018551

PECOS Enrollment IDI20260403002130

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 44070 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 14

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

KAILEY VILYUS

Counselor (Professional)