Samantha Liverpool-Jackson
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1497419683
StatusActive
Last updated in NPPESNov 8, 2026
Details
- NPI
- 1497419683
- Entity type
- Individual (NPI-1)
- Name
- Samantha Liverpool-Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2021
- Certification date
- Nov 8, 2026
- Last updated
- Nov 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC200004834 | DC | Yes |
Practice location
504 58th St NeWashington, DC 20019-6911
Phone 240-791-1666
Mailing address
6002 Grenfell LoopBowie, MD 20720-5343
Phone 240-791-1666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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