Samantha Johnson, CAP in Kent, WA - Medicare Social Worker Provider

Samantha Johnson, CAP is a medicare enrolled "Social Worker - Clinical" provider in Kent, Washington. Her current practice location is 15012 Se 276th Pl, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 659-7283.

Samantha Johnson is licensed to practice in Washington (license number LW61004228) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831442912.

Contact Information

	Samantha Johnson, CAP
	15012 Se 276th Pl, Kent, WA 98042-9129
	(206) 659-7283
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	15012 Se 276th Pl, Kent, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831442912
Provider Enumeration Date: 10/26/2012
Last Update Date: 05/28/2021

Medicare PECOS Information:

PECOS PAC ID: 0648680454
Enrollment ID: I20201106000752

Medical Identifiers

Medical identifiers for Samantha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831442912	NPI	-	NPPES
1041C0700X	Other	WA	LICSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61004228 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Johnson allows following entities to bill medicare on her behalf.

Entity Name	Valley Cities Counseling And Consultation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972668853 PECOS PAC ID: 6406842053 Enrollment ID: O20040421000498

Entity Name	Mindful Therapy Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Johnson, CAP 15012 Se 276th Pl, Kent, WA 98042-9129 Ph: (206) 659-7283	Samantha Johnson, CAP 15012 Se 276th Pl, Kent, WA 98042-9129 Ph: (206) 659-7283

Reviews and Comments

Social Worker in Kent, WA

Mrs. Kelly Kimberly Bennett-aurdahl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26713 138th Pl Se, Kent, WA 98042 Phone: 206-335-3011
Julia Kocian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 Phone: 206-764-8019
Rita Molestina, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 W Gowe St, Kent, WA 98032 Phone: 253-833-7444
Katharine E. Mccormack, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23830 Pacific Hwy S, Suite 102a, Kent, WA 98032 Phone: 206-856-7574 Fax: 206-932-5221
Mrs. Sarah Michelle Farrell, MSW, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24909 104th Ave Se, Suite 101-a, Kent, WA 98030 Phone: 760-608-7885
Charles A Fanucchi, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 W Gowe St, Kent, WA 98032 Phone: 253-520-9350 Fax: 253-735-4111
Melissa Romero, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26311 143rd Ave Se, Kent, WA 98042 Phone: 206-661-0360

Samantha Johnson, CAP - Medicare Clinical Social Worker in Kent, WA