Active NPI
Samantha Michelle Runco, LSW, MED
- School Social Worker
- Searsport, ME
National Provider Identifier
1336448729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LS8299
- Practice address
- 24 Mortland Rd
Searsport, ME 04974-6311 - Phone
- (207) 548-2311
- NPI assigned
- Mar 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LS8299 | ME | Primary |
Addresses
Primary practice location
24 Mortland Rd
Searsport, ME 04974-6311
Mailing address
198 Kennebec Rd
Hampden, ME 04444-1318
Phone (207) 862-3256
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS8299 | ME | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1336448729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 KENNEBEC RD",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044441318",
"telephone_number": "207-862-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MORTLAND RD",
"city": "SEARSPORT",
"state": "ME",
"postal_code": "049746311",
"telephone_number": "207-548-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNCO",
"first_name": "SAMANTHA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LSW, MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "ME",
"license": "LS8299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Searsport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.