Samantha Maulkie Kahn, LCSWA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-28299 Issued in NC

Practice address

4805 Green Rd Ste 103
Raleigh, NC 27616-2848

Phone

(919) 872-6220

Fax

(919) 872-6223

NPI assigned

Sep 13, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1447972815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "SAMANTHA",
        "middle_name": "MAULKIE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017905",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavitha Sravanthi R Kadumpalli, M.D.
• Laura Elizabeth Kagan
• Steven Anthony Kagan, MD
• Cynthia Mayer Kager, CRNA
• Hassan Kahi, M.D.
• Tina Marie Kahwaty, CRNA
• Cristina Mercedes Kaifer, PHARMD
• Philip Kaikai
• Megan Nicole Kain, PA-C
• Vivian Elizabeth Kain

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.