SAMANTHA SCUDERI (NPI# 1154794030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154794030 |
Entity Type | Individual |
Full Name | SAMANTHA SCUDERI |
Practice Address |
3622 Lyckan Pkwy Ste 3002 Durham NC 27707-2572 |
Mailing Address |
519 Wade Ave Apt 3 Raleigh NC 27605-1279 |
Practice Telephone | 9196026766 |
Mailing Telephone | 3018026965 |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 10077A | NC | Behavioral Health & Social Service Providers |
Street Address |
3622 LYCKAN PKWY STE 3002 |
City | DURHAM |
State | NC |
Zip Code | 27707-2572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016204 | Jenna Tyler Ferguson | Social Worker | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2020-09-03 |
1467090886 | Blair Marini | Social Worker | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2019-12-16 |
1073155388 | Christine Pavey | Social Worker | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2019-10-09 |
1134689623 | Anthony Laricchiuti | Marriage & Family Therapist | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2019-03-21 |
1962900670 | Hannah Daulton | Counselor | 3622 Lyckan Pkwy Ste 3002, Durham, NC 27707-2572 | 2018-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
Find all providers in zip 27707 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194287227 | Erin Healy | Marriage & Family Therapist | 816 Exum St, Durham, NC 27701-2822 | 2019-04-06 |
1033675210 | Iris Drakeford | Marriage & Family Therapist | 3628 Rawdon Dr, Durham, NC 27713-5422 | 2019-02-13 |
1649776501 | Astrid Eva Wolf-o'hern | Marriage & Family Therapist | 2 Thompson Ln, Durham, NH 03824-3021 | 2018-03-31 |
1659814937 | Toni Nicolsen | Marriage & Family Therapist | 1502 Highway 54 West, Suite 505, Durham, NC 27707 | 2016-11-18 |
1114377470 | Timothy Horvath | Marriage & Family Therapist | 4100 Five Oaks Dr, #26, Durham, NC 27707-5286 | 2016-06-17 |
1700234291 | Rose Doi | Marriage & Family Therapist | 2609 N Duke St Ste 504, Durham, NC 27704-3048 | 2016-05-25 |
1699134759 | Detrice Peaks | Marriage & Family Therapist | 3362 Tarleton W, Durham, NC 27713-5407 | 2016-02-17 |
1497123053 | Sheffa Christa Ariens | Marriage & Family Therapist | 127 Radcliff Cir, Durham, NC 27713-2504 | 2015-09-11 |
1376970244 | Heather Ram, Lmft, LLC | Marriage & Family Therapist | 29 Evergreen Ter, Durham, CT 06422-1404 | 2013-10-08 |
1023394814 | Carla Milena Peraza | Marriage & Family Therapist | 4711 Buttonbush Drive, Durham, NC 27712-8940 | 2011-10-25 |
Find all providers in DURHAM |
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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.