Samantha Marie Crain
Individual provider Active NPI Social Worker · Marion, IA
NPI 1144928573 · NPPES record last updated Feb 15, 2023
Key facts
- NPI
- 1144928573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 118509 (IA)
- Practice address
- 1655 Blairs Ferry Rd
Marion, IA 52302-3157 - Phone
- (808) 738-6008
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118509 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Family Solutions, LLC | Current |
Accepting new patients |
Locations
1655 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 261-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118509 | IA | Yes |
Addresses
Primary practice location
1655 Blairs Ferry Rd
Marion, IA 52302-3157
Mailing address
223 Stoney Point Rd SW
Cedar Rapids, IA 52404-1068
Phone (808) 738-6008
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.