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

Samantha A Fantauzzi, LCSW

Individual provider Clinical Social Worker · NPI 1306435664

Samantha A Fantauzzi, LCSW is a Clinical Social Worker in West Islip, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 Southside Ave
West Islip, NY 11795-1420
Phone: (516) 592-1971
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 098990 (NY)

Record details

NPI number1306435664
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in West Islip