Marquett Samuels

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4531 Belmont Ave
Youngstown, OH 44505-1051

Phone

(740) 202-8074

Fax

(740) 314-4159

NPI assigned

Dec 29, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19128/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1104586320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051051",
            "telephone_number": "740-202-8074",
            "fax_number": "740-314-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051051",
            "telephone_number": "740-202-8074",
            "fax_number": "740-314-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "MARQUETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Marquett.Samuels@crnhealth.com",
            "affiliation": "N",
            "address_1": "4531 Belmont Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445051051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriella Sophia Sammarone
• Angela Sammartino
• Samuel a. Sebastian & Gene Hrycak Dba Optical Vision of Youngstown
• Samuel Home Care, LLC
• Marina Lynn Samuels
• Jeriko Draven San Roman
• Jessica J Sanchez, RN
• Ruth Marie Sandberg
• Theresa Sanderbeck-Barone, CNP
• Christine Ann Sanders, LSW

• Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.