Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gennie Samala

Individual provider Mental Health Counselor · NPI 1407304777

Gennie Samala is a Clinical Social Worker in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Special Service for Groups Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

515 Columbia Ave Ste 100
Los Angeles, CA 90017-1209
Phone: (213) 553-1884
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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 112414 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 79344 (CA)

Record details

NPI number1407304777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2016
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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