Samantha Colleen Lane, LCSW, LMSW
NPI 1578347621ActiveIndividual· Social Worker, Clinical· Smiths, AL
Social Worker, Clinical (LCSW, LMSW) with Tidemark Intervention Services, practicing in Smiths, Alabama. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1578347621 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LMSW |
| Sole proprietor | No |
| NPI issued | Aug 21, 2023 |
| Last updated in NPPES | Aug 23, 2023 |
| Certified by provider | Aug 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 105127 | TX |
| Social Worker | 104100000X | — | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MD) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Tidemark Intervention ServicesBaltimore, MD · 7 clinicians