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

Mrs. Samantha Carballo Austin, LCSW

Individual provider Clinical Social Worker · NPI 1063013308

Mrs. Samantha Carballo Austin, LCSW is a Clinical Social Worker in Modesto, California. Qualified in 2012, 14 years ago. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1130 12th St Ste C
Modesto, CA 95354-0834
Phone: (209) 525-6043
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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 136381 (CA)

Record details

NPI number1063013308
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESApril 26, 2026
Certification dateApril 26, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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