Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carmen Louise Sample, MSW, LSW

Individual provider Clinical Social Worker · NPI 1609104991

Carmen Louise Sample, MSW, LSW is a Clinical Social Worker in Longmont, Colorado. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

606 Mountain View Ave
Longmont, CO 80501-2779
Phone: (303) 523-8057
Fax: (303) 772-0629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1736 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 249 (CO)

Record details

NPI number1609104991
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LSW
Sole proprietorNo
NPI enumeratedNovember 24, 2009
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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