SAMANTHA KOEBERLE (NPI# 1215541073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215541073 |
| Entity Type | Individual |
| Full Name | SAMANTHA KOEBERLE |
| Credential | BSW, LSW |
| Practice Address |
246 Northland Dr Medina OH 44256-3441 |
| Mailing Address |
3307 Treelawn Dr Richfield OH 44286-9476 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 3305239727 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S2005450 | OH | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 434 Eastland Rd, Berea, OH 440171217 | 4402342006 |
| Street Address |
246 NORTHLAND DR |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279199 | Ravinder K Brar | Psychiatry & Neurology | 246 Northland Dr, Suite 200 A, Medina, OH 44256-1533 | 2005-10-18 |
| 1003413980 | Megan North | Registered Nurse | 246 Northland Dr, Medina, OH 44256-3441 | 2020-10-05 |
| 1841807351 | Katelynn Vincent | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-09-29 |
| 1689289415 | Carolyn Wilder | Community Health Worker | 246 Northland Dr, Medina, OH 44256-3441 | 2020-09-09 |
| 1982225363 | Nicola Klein | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-04-27 |
| 1841820263 | James M Eberly | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-24 |
| 1528698099 | Rachael L Bradford-bank | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-23 |
| 1326698184 | John A Heer | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-09-13 |
| 1063068310 | Susan Rucky | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-08-13 |
| 1609429224 | Jessica Huckabone | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710475637 | Amanda Marie Smith | Social Worker | 323 S Court St, Medina, OH 44256-3715 | 2018-04-26 |
| 1194252411 | Jeanne K Asmann | Social Worker | 4210 N Jefferson St Ste A, Medina, OH 44256-5639 | 2017-05-17 |
| 1063888444 | Manon Paquet-satrape | Social Worker | 246 Northland Dr Ste 140, Medina, OH 44256-3440 | 2015-08-19 |
| 1235490830 | Laura Knapp | Social Worker | 246 Northland Dr., Medina, OH 44256 | 2012-05-31 |
| 1871806430 | Jenna Marie Thompson | Social Worker | 408 E North St, 4166 Sierra Circle, Medina, OH 44256-1952 | 2010-07-23 |
| 1316550312 | Sheryl Wacker | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-08-28 |
| 1316575368 | Laura Blake | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-03-27 |
| 1376017269 | Crystal Lakeina Cooper | Social Worker | 807 E Washington St, Medina, OH 44256-3338 | 2019-01-14 |
| 1033683008 | Mattie Kathleen Ropelewski | Social Worker | 246 Northland Dr, Medina, OH 44256-3441 | 2019-01-14 |
| 1336614197 | Deanna Taylor | Social Worker | 246 Northland Dr, Medina, OH 44256-3441 | 2018-10-09 |
| Find all providers in MEDINA | ||||
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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.