SAMUEL R MICKENS (NPI# 1942531132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942531132 |
| Entity Type | Individual |
| Full Name | SAMUEL R MICKENS |
| Credential | RN |
| Practice Address |
175 Remsen St Fl 10 Brooklyn NY 11201-4300 |
| Practice Telephone | 7188525552 |
| Mailing Telephone | 7188525552 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
569459-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RN | 569459-1 | 01 |
| Street Address |
175 REMSEN ST FL 10 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740053 | Grace Rainford | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-05-01 |
| 1093349375 | Jessica Waldman | Social Worker | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-02-26 |
| 1942834221 | Emma Nagle | Social Worker | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-02-26 |
| 1275167553 | Liat Wruble | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-02-26 |
| 1760016034 | Eunice Elliott | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-02-26 |
| 1104450709 | Gregory Flad | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2020-02-24 |
| 1013451434 | Katherine Kowalczik | Social Worker | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2016-12-05 |
| 1265790851 | Barbara Goldstein | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2012-05-02 |
| 1770841645 | Donovan Leigh | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2012-04-30 |
| 1205194073 | Harriet Turner | Counselor | 175 Remsen St Fl 10, Brooklyn, NY 11201-4333 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
| 1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
| 1730458175 | Cheryl Rovendro | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-14 |
| 1679741557 | Rosalie S Spencer | Registered Nurse | 486 E 51st St, Brooklyn, NY 11203-4538 | 2008-02-13 |
| 1770128498 | Darlene Marie Robertson | Registered Nurse | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2019-11-18 |
| 1477030542 | Zainabu Warde | Registered Nurse | 494 Dumont Ave, Brooklyn, NY 11207-5017 | 2018-07-23 |
| 1902304678 | Beth Pembroke | Registered Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2018-01-29 |
| 1932611357 | Justin William Shaw | Registered Nurse | 50 Jay St, Brooklyn, NY 11201-1144 | 2017-10-25 |
| 1609264324 | Lisa Singh | Registered Nurse | 888 Fountain Ave, Brooklyn, NY 11239-5907 | 2015-01-05 |
| 1336566694 | Bridge Back To Life Center, Inc. | Registered Nurse | 175 Remsen St, Suite 1010, Brooklyn, NY 11201-4333 | 2014-03-25 |
| Find all providers in BROOKLYN | ||||
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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.