SAMANTHA ELIZABETH WALTRIP – Clinical Social Worker, NPI 1083051007

SAMANTHA ELIZABETH WALTRIP is a healthcare provider. based in Alexandria, Virginia. specializing in Clinical Social Worker. The NPI Number for SAMANTHA ELIZABETH WALTRIP is 1083051007

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ELIZABETH WALTRIP
NPI
1083051007
Phone
Not provided
Address
720 N SAINT ASAPH ST
Enumeration Date
31 May 2013
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037463400
Graduation Year
2013 (13 years ago)
PAC ID
9234489758
Group Practice PAC ID
0941195374
Professional Enrollment ID
I20180905000064
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for SAMANTHA ELIZABETH WALTRIP

  • 720 N SAINT ASAPH ST

    ALEXANDRIA, VA 223141912

    Phone:

    Type: Mailing

  • 4850 MARK CENTER DR

    ALEXANDRIA, VA 223111882

    Phone: (703) 746-3400

    Type: Mailing

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: 2018-09-05

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
I20180905000064IClinical Social WorkerDCTBD

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 22314)

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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: 0941195374View full group profile
NameSpecialtyState
-SD
-VA
Mental Health CounselorVA
Clinical Social WorkerIL
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Clinical Social WorkerVA
Mental Health CounselorVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Can I cross-check SAMANTHA ELIZABETH WALTRIP using NPI 1083051007?
NPI 1083051007 belongs to SAMANTHA ELIZABETH WALTRIP; compare other details if you need extra assurance.
Is SAMANTHA ELIZABETH WALTRIP still an active registrant?
SAMANTHA ELIZABETH WALTRIP carries an active NPI according to the public dataset.
What expertise is attributed to SAMANTHA ELIZABETH WALTRIP?
SAMANTHA ELIZABETH WALTRIP's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA ELIZABETH WALTRIP?
Travel planning: use Alexandria, Virginia as the reference point for SAMANTHA ELIZABETH WALTRIP, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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