SAMANTHA MARLOWE MAEDERER (NPI# 1790213585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790213585 |
| Entity Type | Individual |
| Full Name | SAMANTHA MARLOWE MAEDERER |
| Credential | LMHC |
| Practice Address |
1001 16th St S St Petersburg FL 33705-2231 |
| Mailing Address |
Po Box 10970 St Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222110 |
| Mailing Telephone | 7273277656 |
| Mailing Fax Number | 7273222110 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH13959 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1001 16TH ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174719819 | Suncoast Center for Community Mental Health | Clinic/Center | 1001 16th St S, St Petersburg, FL 33705-2231 | 2007-09-17 |
| 1669091872 | Tertia Marshall | Behavioral Analyst | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-04-09 |
| 1619596830 | Paula Styles | Behavioral Analyst | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-04-09 |
| 1639719479 | Samantha Josephine Circelli | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2020-01-09 |
| 1184260069 | Kendal Hansen | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2019-11-26 |
| 1841849452 | Sharronah F.w. Scott | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2019-09-06 |
| 1093243883 | Holly Harrison | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2017-05-24 |
| 1831547793 | Ronald Bell | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-06-01 |
| 1255795670 | Fatimah Ebadi | Case Manager/Care Coordinator | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-04-12 |
| 1104288299 | Shelina Persad | Counselor | 1001 16th St S, St Petersburg, FL 33705-2231 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1598364747 | Sara Spiess | Counselor | 447 3rd Ave N Ste 204, St Petersburg, FL 33701-3245 | 2020-10-20 |
| 1669096400 | Bjorn Nagle | Counselor | 111 2nd Ave Ne Ste 1007, St Petersburg, FL 33701-3442 | 2020-06-06 |
| 1225658180 | Holly A Henderson | Counselor | 600 40th St N Apt 208, St Petersburg, FL 33713-6340 | 2020-04-21 |
| 1225657174 | Meaghan Campbell | Counselor | 749 Jasmine Way S, St Petersburg, FL 33705-4744 | 2020-04-10 |
| 1245865294 | Russia Ja'von Collins | Counselor | 833 22nd St S, St Petersburg, FL 33712-2250 | 2020-03-10 |
| 1053959023 | Lynn Stephanie Jackson Dorman | Counselor | 1700 Park St N Ste 110, St Petersburg, FL 33710-4300 | 2019-12-20 |
| 1063985091 | Carleah East | Counselor | 6675 38th Ave N Ste 102, St Petersburg, FL 33710-1534 | 2019-01-02 |
| 1992271167 | Devon Willette | Counselor | 3900 Queen St N, St Petersburg, FL 33714-4644 | 2018-10-16 |
| 1750862017 | Mind Body Wellness Group LLC | Counselor | 735 Arlington Ave N Ste 205, St Petersburg, FL 33701-3653 | 2018-08-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on SAMANTHA MARLOWE MAEDERER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.