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

Samara Mellanie Prystowsky

Individual provider Clinical Social Worker · NPI 1669188546

Samara Mellanie Prystowsky is a Clinical Social Worker in Columbus, Ohio. Qualified in 2022, 4 years ago. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

929 Harrison Ave Ste 200
Columbus, OH 43215-1300
Phone: (614) 940-4868
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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 S.2298629 (OH)

Record details

NPI number1669188546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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