Samisha Tankeyia Rose

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P024139 Issued in NC

Practice address

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Phone

(910) 339-0400

NPI assigned

Dec 27, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cape Fear Behavioral Health Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1790062057
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962271254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 PEE DEE CHURCH RD",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295367744",
            "telephone_number": "843-627-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295364014",
            "country_code": "US",
            "telephone_number": "843-627-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SAMISHA",
        "middle_name": "TANKEYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P024139",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinesha Roscoe
• Rose Ofsharon Home Care and Health Services
• Desiree Lashea Rose
• James Rose, M.A
• Laura Gay Rose, RN
• Shannon Rose
• Carl Willis Rosenberg, LMFT
• Jennifer L Rosenthal-Dibb, MS CCC-SLP
• Amanda K Ross, LCSWA
• Charles J Ross, IDMT

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.