Samantha McGrath, MS, LADC-1
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Teaticket, MA
NPI 1558044537 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1558044537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 23145 (MA)
- Practice address
- 279 Brick Kiln Rd
Teaticket, MA 02536-5651 - Phone
- (508) 388-7613
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23145 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovering Champions Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23145 | MA | Yes |
Addresses
Primary practice location
279 Brick Kiln Rd
Teaticket, MA 02536-5651
Mailing address
279 Brick Kiln Rd
Teaticket, MA 02536-5651
Other providers in Teaticket, MA
- Jason J Kan
- Lasalle Health Service Inc
- Paul C Lee
- Brittni M Lopes
- Ronald George Marcellus
- Richard James McKenna
- Dontae Female McNichol
- Mindful Medical Care P.C.
- Dawn Moran
- Demian John Ochoa
All providers in Teaticket, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.