Teresa Samuel (NPI# 1235489832, PAC ID# 0547529141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1235489832 |
| PAC ID by PECOS | 0547529141 |
| Professional Enrollment ID | I20180104000887 |
| Full Name | Teresa Samuel |
| Organization Legal Name | LIFESOURCE OF NORTH CAROLINA |
| Address |
3205 Randall Pkwy Suite 105 Wilmington NC 28403-2565 |
| Phone Number | 9107429243 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416132428 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3080 Hwy 15-401 E, Mc Coll, SC 29570-6128 | 8435235751 | CARESOUTH CAROLINA INC. |
| 4002 Executive Park Blvd, Suite 300, Southport, NC 28461-9080 | 9107429243 | LIFESOURCE OF NORTH CAROLINA |
| 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 | 9107429243 | LIFESOURCE OF NORTH CAROLINA |
| Organization Legal Name | LIFESOURCE OF NORTH CAROLINA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred John Howard | Clinical Social Worker | Lifesource of North Carolina | 1901 Libbie Ave, Richmond, VA 23226-1808 |
| Crystal Dawn Coleman | Nurse Practitioner | Lifesource of North Carolina | 390 Park Ave, Hazard, KY 41701-9548 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Charles Whetsell | Psychologist, Clinical | Lifesource of North Carolina | 1424 Montclair Rd, Irondale, AL 35210-2208 |
| Judith G Benson | Clinical Nurse Specialist | Lifesource of North Carolina | 1611 Constiturion Blvd, Rock Hill, SC 29732-3047 |
| Kimberly Elaine Brown | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Kevin C Settles | Psychologist, Clinical | Lifesource of North Carolina | 1678 Montgomery Hwy, Vestavia Hills, AL 35216-4914 |
| Nakeya Johnson Gore | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Rd, Rome, GA 30345 |
| Andrea B Hunt | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| July Morbeth | Physician Assistant | Lifesource of North Carolina | 2006 Pelham Rd, Greenville, SC 29615-4005 |
| Street Address |
3205 RANDALL PKWY SUITE 105 |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-2565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea B Hunt | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Virginia Lyon | Clinical Social Worker | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Anna Resnick | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Lashanda Brown | Nurse Practitioner | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Linda D Cappiello | Nurse Practitioner | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Lindy W Kitchin | Clinical Social Worker | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Arlene G Gallan | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Lois H Reed | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Karen A Talbert | Physician Assistant | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Donald W Hudson | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WILMINGTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Teresa Samuel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.