MRS. SAMANTHA MICHELLE RUNCO (NPI# 1336448729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336448729 |
Entity Type | Individual |
Full Name | MRS. SAMANTHA MICHELLE RUNCO |
Credential | LSW, MED |
Practice Address |
24 Mortland Rd Searsport ME 04974-6311 |
Mailing Address |
198 Kennebec Rd Hampden ME 04444-1318 |
Practice Telephone | 2075482311 |
Mailing Telephone | 2078623256 |
Enumeration Date | 2011-03-24 |
Last Update Date | 2011-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
LS8299 | ME | Behavioral Health & Social Service Providers |
Street Address |
24 MORTLAND RD |
City | SEARSPORT |
State | ME |
Zip Code | 04974-6311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366927287 | Sherry Anne Dunbar | Case Manager/Care Coordinator | 99 Back Searsport Rd, Searsport, ME 04974 | 2018-09-26 |
1427112713 | Bethany Jo Mitchell | Social Worker | 11 Cobb Rd, Searsport, ME 04974 | 2006-12-20 |
1417028945 | Loren D. Baldus, D.m.d., P.a. | Dentist | #9 Mt. Ephraim Road, Searsport, ME 04974 | 2006-11-13 |
1417926163 | Jane Eagles | Counselor | 24 Mortland Road, Searsport, ME 04974 | 2006-03-15 |
1851856397 | Lashelbraycm | Community/Behavioral Health | 99 Back Searsport Rd, Searsport, ME 04974 | 2019-02-08 |
1700321668 | Athena Bennett | Social Worker | 30 Mortland Rd, Searsport, ME 04974 | 2017-01-03 |
1326403569 | Dltc Healthcare LLC | Assisted Living Facility | 45 West Main St, Searsport, ME 04974 | 2015-12-15 |
1295113884 | Regional School Unit #71 | Specialist | 6a Lions Way, 98 Waldo Ave., Belfast, ME 04974 | 2015-05-14 |
1659370526 | Boston Ocular Prosthetics Inc | Technician/Technologist | 133 Mortland Rd, Searsport, ME 04974-0245 | 2005-07-21 |
1528603677 | Mackenzie Rose Clapp | Dietitian, Registered | 49 E Main St, Apartment B, Searsport, ME 04974-0258 | 2019-11-13 |
Find all providers in zip 04974 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841850781 | Bruce Webber Lcsw LLC | Social Worker | 95 Park Street, Suite 201, Lewiston, ME 04240-7282 | 2019-06-13 |
1255768701 | Amber Gahagan | Social Worker | 22 Howland Rd, Lagrange, ME 04453-5321 | 2013-09-30 |
1326338385 | Sharon L Gentry | Social Worker | 31 Libby Hill Rd, Gray, ME 04039-9715 | 2011-04-12 |
1639476393 | Daniel Pierce | Social Worker | 710 Pequawket Trail, West Baldwin, ME 04041 | 2011-02-16 |
1780992008 | Douglas Edmund Daggett | Social Worker | 30 Holbrook St, Freeport, ME 04032-1205 | 2010-09-21 |
1356656003 | Danielle T Hiltz | Social Worker | 654 Hallowell Rd, Durham, ME 04222-5216 | 2010-08-18 |
1396999397 | Faith E Perkins | Social Worker | 102 Main St Ste A, Ellsworth, ME 04605-1919 | 2008-11-05 |
1992867733 | Jessica Robin Oakes | Social Worker | 8 Old Mill Road The Open Door Recovery Center, Ellsworth, ME 04605 | 2006-12-15 |
1326695891 | Hannah M Shifflett-kohler | Social Worker | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2019-08-20 |
1952870156 | Danae M Deveau | Social Worker | 40 Main St Bldg 13, Biddeford, ME 04005-5178 | 2018-11-16 |
Find all providers with the same taxonomy |
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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.