SAMANTHA GREEN-ATCHLEY – Social Worker, NPI 1225317811

SAMANTHA GREEN-ATCHLEY is a healthcare provider. based in Roxbury, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for SAMANTHA GREEN-ATCHLEY is 1225317811

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA GREEN-ATCHLEY
NPI
1225317811
Phone
Not provided
Address
55 DIMOCK ST
Enumeration Date
12 August 2011
Last Update Date
12 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179127900
Graduation Year
2012 (14 years ago)
PAC ID
3072827823
Group Practice PAC ID
9234037516
Professional Enrollment ID
I20150806011889
Address ID
MA021502807CH301XXBROA200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for SAMANTHA GREEN-ATCHLEY

  • 55 DIMOCK ST

    ROXBURY, MA 021191029

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150806011889IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234037516View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Clinical Social WorkerMA
Nurse PractitionerMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Clinical Social WorkerMA
-MA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What federal number belongs to SAMANTHA GREEN-ATCHLEY?
The federal identifier for SAMANTHA GREEN-ATCHLEY is NPI 1225317811.
Is SAMANTHA GREEN-ATCHLEY's NPI currently valid?
The extract we use shows SAMANTHA GREEN-ATCHLEY as active.
What field does SAMANTHA GREEN-ATCHLEY work in?
You can think of SAMANTHA GREEN-ATCHLEY as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMANTHA GREEN-ATCHLEY?
The page summarizes Roxbury, Massachusetts for SAMANTHA GREEN-ATCHLEY; expand the address list for detail.
What if Roxbury, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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