Active NPIIndividual providerSole proprietor

Samantha Dorn, LCSW

Social Worker in Montgomery, New York

NPI Number1689359135
Practice location
1128 Ny-17k, Ste 1, Ste 1, Montgomery, NY 12549
Fax
—
Last updated
September 18, 2025

Samantha Dorn is a Social Worker based in Montgomery, NY. Samantha Dorn practices in Montgomery, NY and has the professional credentials of LCSW. The NPI Number for Samantha Dorn is 1689359135 and holds a License No. 100914 (NY). The current practice location address for Samantha Dorn is 1128 Ny-17k, Ste 1, Ste 1, Montgomery, NY 12549 and can be reached out via phone at 845-202-1318.

Provider Profile Details

NPI Number
1689359135
Provider Name
Samantha Dorn
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1128 Ny-17k, Ste 1, Ste 1, Montgomery, NY 12549
Phone Number
845-202-1318
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2023
Last Update Date
September 18, 2025
Certification Date
September 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1128 Ny-17k, Ste 1
Ste 1
Montgomery, NY 12549
Zip
12549
Phone Number
845-202-1318
Montgomery, NY 12549Get directions →

Provider Business Mailing Address Details

Address
100 Hillside Dr Apt D7
Middletown, NY 10941-1333
City
Middletown
State
NY
Zip
10941-1333
Phone Number
845-791-0681

License Information

License Number
100914
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha Dorn, LCSW?

The NPI number of Samantha Dorn, LCSW is 1689359135. It was assigned on June 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Samantha Dorn, LCSW?

Samantha Dorn, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 100914.

Where does Samantha Dorn, LCSW practice?

The practice location is 1128 Ny-17k, Ste 1, Ste 1, Montgomery, NY 12549. The office can be reached at 845-202-1318 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689359135 directly on the NPPES registry website.

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