Individual provider Active NPI

Samiya Channe, LCSW

  • Social Worker
  • Tamarac, FL
National Provider Identifier
1972856078
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW10891 Issued in FL
Practice address
7481 W Oakland Park Blvd
Suite 100
Tamarac, FL 33319-4985
Phone
(954) 771-7743
Fax
(954) 771-7748
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW10891 FL Primary

Addresses

Primary practice location

7481 W Oakland Park Blvd
Suite 100
Tamarac, FL 33319-4985

Mailing address

1065 NE 125TH St
Suite 409
North Miami, FL 33161-5821
Phone (305) 891-0050

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1972856078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-891-0050",
            "fax_number": "305-503-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD",
            "address_2": "SUITE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNE",
        "first_name": "SAMIYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW10891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.