Active NPI
Samantha Clinton
- Addiction (Substance Use Disorder) Counselor
- Biddeford, ME
National Provider Identifier
1225868912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC7924
- Practice address
- 409 Alfred St Unit 4
Biddeford, ME 04005-3756 - Phone
- (833) 356-4080
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LC7924 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC7924 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
409 Alfred St Unit 4
Biddeford, ME 04005-3756
Mailing address
PO Box 291943
Nashville, TN 37229-1943
Phone (833) 952-0829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2024.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1225868912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291943",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372291943",
"telephone_number": "833-952-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 ALFRED ST UNIT 4",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040053756",
"telephone_number": "833-356-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINTON",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC7924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.