MRS. SAMANTHA WALLACE (NPI# 1851777171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851777171 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA WALLACE |
| Credential | LCSW |
| Practice Address |
329 E 149th St Bronx NY 10451-5601 |
| Practice Telephone | 7187692698 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 72085249 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293272 | Samantha Wallace | Nurse Practitioner | 7625 Voice of America Centre Dr # 41, West Chester, OH 45069-2795 | 2020-10-18 |
| 1912516964 | Samantha Anne Wallace | Speech-Language Pathologist | 1289 Oliver St, Fayetteville, NC 28304-4450 | 2020-07-27 |
| 1093270431 | Samantha Wallace | Behavior Technician | 1734 Jefferson St Ste C, Napa, CA 94559-1746 | 2019-02-08 |
| 1821403593 | Samantha Wallace | Family Medicine | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2014-06-21 |
| 1962815431 | Samantha Wallace | Speech-Language Pathologist | 100 Cummings Ctr, Ste 135-h, Beverly, MA 01915-6115 | 2014-06-03 |
| Street Address |
329 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427114800 | John Williams | Social Worker | 329 E 149th St, Bronx, NY 10451 | 2006-12-29 |
| 1255966875 | Jeremy Andre Babb | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2020-03-04 |
| 1295385755 | Mariebeth Dickerson | Licensed Practical Nurse | 329 E 149th St, Bronx, NY 10451-5625 | 2019-09-17 |
| 1891340634 | Ida Spahiu | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-08-08 |
| 1255986295 | Georgeann Brown | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-08-06 |
| 1245883081 | Courtney Rosena Edwards | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-07-22 |
| 1568014801 | Crystal Martinez | Behavior Technician | 329 E 149th St, Bronx, NY 10451-5625 | 2019-07-16 |
| 1740847508 | Lisa Mendoza | Case Manager/Care Coordinator | 329 E 149th St, Bronx, NY 10451-5625 | 2019-05-28 |
| 1467017111 | Andre Carty Sr. | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-05-08 |
| 1710540059 | Paulette Walker | Social Worker | 329 E 149th St, Bronx, NY 10451-5625 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1306451174 | Amira Nahshal | Case Manager/Care Coordinator | 1863 Paulding Ave, Bronx, NY 10462-3177 | 2020-09-09 |
| 1689201956 | Latino Muslims of New York | Case Manager/Care Coordinator | 655 Burke Ave Apt 5g, Bronx, NY 10467-6641 | 2020-03-25 |
| 1205460581 | Tremont Helps Inc | Case Manager/Care Coordinator | 563 E Tremont Ave Frnt 2, Bronx, NY 10457-4655 | 2020-02-26 |
| 1538710892 | Carolyn Mojica | Case Manager/Care Coordinator | 18 E 199th St Apt 4h, Bronx, NY 10468-1735 | 2019-09-26 |
| 1518516780 | Krystal Pizarro | Case Manager/Care Coordinator | 2125 Saint Raymond Ave Apt 3g, Bronx, NY 10462-7121 | 2019-09-10 |
| 1346896693 | Johnny Manuel Castillo Rodriguez | Case Manager/Care Coordinator | 3578 Dekalb Ave Apt 5f, Bronx, NY 10467-1179 | 2019-08-13 |
| 1891349734 | Joy Palmer-bonnick | Case Manager/Care Coordinator | 1 Riverdale Ave Ste 10, Bronx, NY 10463-4903 | 2019-07-29 |
| 1275191207 | Elsi Nunez | Case Manager/Care Coordinator | 1665 Bryant Ave Apt 1d, Bronx, NY 10460-5370 | 2019-06-04 |
| 1013574565 | Rasheeda Clarice Gray | Case Manager/Care Coordinator | 801 Neill Ave Apt 21d, Bronx, NY 10462-3027 | 2019-05-21 |
| Find all providers in BRONX | ||||
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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.