Look up the most recent NPI and PECOS records

Samantha Jessica Inniss

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as SAMANTHA INNISS.

Based on the most recent information from CMS, provider Samantha Jessica Inniss is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821685116
Provider Type
Individual
Full Name
Inniss, Samantha Jessica
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/21/2020
Last Updated
11/13/2023

Contact Information

Practice Location

18 Briarwood Dr, Windsor, CT 06095-4470

(860) 922-0060

Unlisted Fax

Mailing Location

18 Briarwood Dr, Windsor, CT 06095-4470

(860) 922-0060

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 13487 Connecticut

Samantha Jessica Inniss

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stewart, Laurel

Mayweather-Banks, Nichole

Mitchell, Tashawna

Morgan, Kayleigh Claire

Rosario, Milna

Campbell, Korin

James, Patricia Langevin

Mchugh-Williams, Geraldine

Pearson, Trudy Tamara

Hollister, Vincent