Organization Active NPI

Samantha Cole LCSW

  • Community/Behavioral Health Agency
  • Unadilla, NY
National Provider Identifier
1699188219
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
081663 Issued in NY
Legal business name
SAMANTHA COLE LCSW
Practice address
1004 State Highway 7 BLDG B
Unadilla, NY 13849-3137
Phone
(607) 354-4602
Fax
(607) 215-4201
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Ms. Samantha Cole, LCSW
Title
Director
Phone
(607) 354-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 081663 NY Primary

Addresses

Primary practice location

1004 State Highway 7 BLDG B
Unadilla, NY 13849-3137

Mailing address

1004 State Highway 7 BLDG B
Unadilla, NY 13849-3137
Phone (607) 354-4602

National Provider Directory

National Provider Directory

Locations

1004 State Highway 7
Bldg B
Unadilla, NY 13849
Phone (607) 354-4602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1699188219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STATE HIGHWAY 7 BLDG B",
            "city": "UNADILLA",
            "state": "NY",
            "postal_code": "138493137",
            "telephone_number": "607-354-4602",
            "fax_number": "607-215-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 STATE HIGHWAY 7 BLDG B",
            "city": "UNADILLA",
            "state": "NY",
            "postal_code": "138493137",
            "telephone_number": "607-354-4602",
            "fax_number": "607-215-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA COLE LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "607-354-4602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unadilla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.