Samara Foundation

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SAMARA FOUNDATION

Practice address

5587 Murray Ave Ste 205
Memphis, TN 38119-0896

Phone

(901) 729-9767

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Brisa Samudio, LCSWNPI 1366752347

Title

Owner

Phone

(901) 729-9767

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brisa S Samudio, LCSW

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1366752347
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1992587745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 MURRAY AVE STE 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190896",
            "telephone_number": "901-729-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 MURRAY AVE STE 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190896",
            "telephone_number": "901-729-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "SAMUDIO",
        "authorized_official_first_name": "BRISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-729-9767",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Salvant Jr., PHARMD
• Sam Delk
• Sam'S Club Optical
• Sam'S Club Optical
• Samara Center, PLLC
• Michelle Marie Samarin, ACNP
• Samaritan Counseling Center of the Midsouth
• Samaritan Counseling Centers of the Mid-South
• Hakim Samatar
• Andrea Samberg, LCSW

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.