Active NPI
Samantha Renee Freeman
- Clinical Social Worker
- Wilson, NC
National Provider Identifier
1225670193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3406 Wetherly Dr N Apt B
Wilson, NC 27896-1290 - Phone
- (919) 904-8128
- NPI assigned
- Oct 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NC | Primary | |
| Clinical Social Worker | 1041C0700X | P014236 | NC |
Addresses
Primary practice location
3406 Wetherly Dr N Apt B
Wilson, NC 27896-1290
Mailing address
PO Box 1192
Sharpsburg, NC 27878-1192
Phone (919) 904-8128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014236 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1225670193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1192",
"city": "SHARPSBURG",
"state": "NC",
"postal_code": "278781192",
"telephone_number": "919-904-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 WETHERLY DR N APT B",
"city": "WILSON",
"state": "NC",
"postal_code": "278961290",
"telephone_number": "919-904-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "SAMANTHA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-12",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.