SAMIRA DEBERRY (NPI# 1023662970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023662970 |
| Entity Type | Individual |
| Full Name | SAMIRA DEBERRY |
| Practice Address |
404 Independence Blvd Sicklerville NJ 08081-1094 |
| Practice Telephone | 8568615448 |
| Mailing Telephone | 8568615448 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
404 INDEPENDENCE BLVD |
| City | SICKLERVILLE |
| State | NJ |
| Zip Code | 08081-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710402631 | Premiere Behavioral Supports | Behavior Technician | 404 Independence Blvd, Sicklerville, NJ 08081 | 2017-08-11 |
| 1073113965 | Twonya Williams | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-29 |
| 1144820044 | Jessica Mumford | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-29 |
| 1134729031 | Shermyra Goree | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-29 |
| 1952901852 | Michelle Chandler | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-29 |
| 1245839257 | Jennifer Lukowski | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-21 |
| 1891393633 | Nicole Halty | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-14 |
| 1255938999 | Edith Fuller | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-06 |
| 1790382430 | Destinny Martinez-delgado | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-06 |
| 1891302022 | Tyra Wilson | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771031 | Clack Associates, LLC. | Counselor | 603 Liberty Place, Sicklerville, NJ 08081 | 2019-10-13 |
| 1164901351 | Devereux Foundation | Day Training, Developmentally Disabled Services | 1601 - 1603 Sicklerville Road, Sicklerville, NJ 08081 | 2018-08-09 |
| 1467930990 | Brooke Schatzman | Lactation Consultant, Non-RN | 112 Hampton Court, Sicklerville, NJ 08081 | 2018-08-06 |
| 1831686443 | Grandular Senior Living | Day Training/Habilitation Specialist | 542 Berlin Cross Key Road Ste 3-270, Sicklerville, NJ 08081 | 2018-04-18 |
| 1942718465 | Community Dental of Sicklerville, P.C. | Dentist | 513 Cross Keys Road, Sicklerville, NJ 08081 | 2018-01-18 |
| 1831609304 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brandon Court, Sicklerville, NJ 08081 | 2017-10-10 |
| 1285167346 | A Better Concept | Community/Behavioral Health | 20 Wildcat Branch Dr, Sicklerville, NJ 08081 | 2017-04-06 |
| 1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
| 1588012496 | Grace Musokae | Pharmacist | 412 Sicklerville Rd, Jolin's Pharmacy #103, Sicklerville, NJ 08081 | 2016-06-01 |
| 1932553922 | Jenny C Robertson | Counselor | 3111 Route 42 Ste B, Sicklerville, NJ 08081 | 2016-04-16 |
| Find all providers in zip 08081 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1568097327 | Jessica Kurczewski | Counselor | 29 Village Green Ln, Sicklerville, NJ 08081-1629 | 2020-03-11 |
| 1659831782 | Safeway Independent Services, LLC | Counselor | 130 Village Green Ln, Sicklerville, NJ 08081-1641 | 2019-03-24 |
| 1801355565 | Lorraine Frances Westenberger | Counselor | 557 Williamstown Rd, Sicklerville, NJ 08081-1825 | 2019-03-13 |
| 1225504558 | Jason Bonas | Counselor | 24 Madison Ln, Sicklerville, NJ 08081-4409 | 2018-10-14 |
| 1720565047 | Mailon L Demby | Counselor | 1600 Liberty Pl, Sicklerville, NJ 08081-5705 | 2018-07-20 |
| 1558712299 | Shaquira Briggs | Counselor | 40 Vernon Court, Sicklerville, NJ 08081 | 2016-06-23 |
| 1932553922 | Jenny C Robertson | Counselor | 3111 Route 42 Ste B, Sicklerville, NJ 08081 | 2016-04-16 |
| 1609236603 | Esther Adeleke | Counselor | 171 Breckenridge Dr, Sicklerville, NJ 08081-3240 | 2016-03-03 |
| 1801260211 | Tia Joyner | Counselor | 501 Chews Landing Rd, Apt 259, Sicklerville, NJ 08081-1782 | 2015-11-23 |
| Find all providers in SICKLERVILLE | ||||
| City | SICKLERVILLE |
| Zip Code | 08081 |
Please comment or provide details below to improve the information on SAMIRA DEBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.