Rebecca Joy Sam-McCaghren, LCSW LICENSED CLINIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0002807 Issued in FL

Practice address

10000 Stirling Rd
6
Cooper City, FL 33024

Phone

(954) 436-8326

Fax

(954) 433-0603

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Sam-McCaghren Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073608816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD",
            "address_2": "6",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD",
            "address_2": "6",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM-MCCAGHREN",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LCSW LICENSED CLINIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SAM-MCCAGHREN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.