Individual provider Active NPI

Deborah Dent Samake

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1376737205
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2166 Hayes St Ste 303
San Francisco, CA 94117-1033
Phone
(415) 379-7201
Fax
(415) 379-7205
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2166 Hayes St Ste 303
San Francisco, CA 94117-1033

Mailing address

2166 Hayes St Ste 303
San Francisco, CA 94117-1033
Phone (415) 379-7201

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

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1376737205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 HAYES ST STE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171033",
            "telephone_number": "415-379-7201",
            "fax_number": "415-379-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 HAYES ST STE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171033",
            "telephone_number": "415-379-7201",
            "fax_number": "415-379-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAKE",
        "first_name": "DEBORAH",
        "middle_name": "DENT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.