SAMANTHA MCCORMICK (NPI# 1912301896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912301896 |
| Entity Type | Individual |
| Full Name | SAMANTHA MCCORMICK |
| Practice Address |
2670 Durham Chapel Hill Blvd Durham NC 27707-2829 |
| Practice Telephone | 9192519001 |
| Practice Fax Number | 9192519008 |
| Mailing Telephone | 9192519001 |
| Mailing Fax Number | 9192519008 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21207 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851851190 | Samantha Mccormick | Licensed Vocational Nurse | 877 Cr 1240, Warren, TX 77664 | 2019-03-22 |
| 1164824637 | Samantha Mccormick | Speech-Language Pathologist | 55 38th St, Islip, NY 11751-1101 | 2014-09-16 |
| 1710457023 | Samantha Spann Mccormick | Psychiatry & Neurology | 5303 Harry Hines Blvd Fl 8, Dallas, TX 75390-7208 | 2018-11-29 |
| 1902032238 | Samantha G Mccormick | Speech-Language Pathologist | 2750 S 8th St, Beaumont, TX 77701-7719 | 2009-06-01 |
| Street Address |
2670 DURHAM CHAPEL HILL BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982682910 | Brad Prinzhorn | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2006-01-09 |
| 1710588280 | Samantha Manzi | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-11-02 |
| 1063011351 | Kashawnna Anthony | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-10-19 |
| 1588262943 | Kelley Marrale | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-10-16 |
| 1487266425 | Olivia Rosemarie Mclaughlin | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-08-20 |
| 1467064329 | Shreya Gunna | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-08-20 |
| 1619595717 | Kristen Rebecca Degree | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-07-06 |
| 1427673789 | Anne Helen Olivar | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-06-12 |
| 1932722030 | Meredith Pochily | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-05-22 |
| 1982226163 | Rebecca Louise Jepson Godfrey | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-05-11 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927723 | Irene Dormenie Jackson | Counselor | 904 Woodgreen Dr, Durham, NC 27704-6034 | 2020-09-18 |
| 1285252379 | Chrissteller Taylor | Counselor | 4808 Fortunes Ridge Dr, Durham, NC 27713-9348 | 2020-07-06 |
| 1376169482 | Livia Corry | Counselor | 2410 Presidential Dr Ste 105, Durham, NC 27703-8021 | 2020-06-24 |
| 1639723794 | Philip Marschall | Counselor | 3003 Corinth Ln, Durham, NC 27704-3271 | 2019-07-27 |
| 1497317887 | Francisco Javier Contreras Hernandez | Counselor | 2020 Chapel Hill Rd, Durham, NC 27707-1184 | 2019-07-05 |
| 1235696378 | Aleesha Hughes | Counselor | 2609 N Duke St Ste 403, Durham, NC 27704-3048 | 2019-02-25 |
| 1629569280 | Nyesha Shanta Robinson | Counselor | 2530 Meridian Pkwy Ste 2055, Durham, NC 27713-5272 | 2018-05-19 |
| 1588166243 | Shane Phillips | Counselor | 411 Trent Drive, Durham, NC 27710-0001 | 2018-03-08 |
| 1366954356 | Jamie Lee Washington | Counselor | 2310 S Miami Blvd Ste 136, Durham, NC 27703-5799 | 2017-10-30 |
| 1508381369 | Lacrisha Holcomb | Counselor | 1822 East Highway 54, Suite 300, Durham, NC 27713 | 2017-08-13 |
| 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.