SAMANTHA RHEA HAGAN (NPI# 1912404500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912404500 |
| Entity Type | Individual |
| Full Name | SAMANTHA RHEA HAGAN |
| Credential | BA |
| Practice Address |
10500-university Center Dr. Ste 215 Tampa FL 33612-6490 |
| Mailing Address |
5707-n. 22nd St Tampa FL 33610-4350 |
| Practice Telephone | 8132398069 |
| Practice Fax Number | 8132317324 |
| Mailing Telephone | 8132398069 |
| Mailing Fax Number | 8132317324 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-05-09 |
| NPI Deactivation Date | 04/12/2018 |
| NPI Reactivation Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
10500-UNIVERSITY CENTER DR. STE 215 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178059 | Sherry Thi Hughes | Social Worker | 419 N Pierce St Ste 107, Tampa, FL 33602-4022 | 2020-09-11 |
| 1467062109 | Vaniece Johnson | Social Worker | 12421 N Florida Ave Ste 210b, Tampa, FL 33612-4277 | 2020-08-07 |
| 1508489915 | Courtney Gowen | Social Worker | 5331 Primrose Lake Cir Ste 209, Tampa, FL 33647-3751 | 2020-05-20 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1073165551 | Tameka Oneal | Social Worker | 610 W Waters Ave Ste B&c, Tampa, FL 33604-2951 | 2019-07-15 |
| 1689149767 | Anamarie Antonetty | Social Worker | 7111 N 9th St, Tampa, FL 33604-5043 | 2018-10-04 |
| 1184101289 | Courtney Barton | Social Worker | 13101 N. Bruce B. Downs Blvd., Tampa, FL 33612 | 2018-07-23 |
| 1760981658 | Kathleen Marie Murray | Social Worker | 5055 S Dale Mabry Hwy Apt 323, Tampa, FL 33611-3548 | 2018-02-06 |
| 1528566379 | Madelaine Pimentel Del Sol | Social Worker | 6033 Bayside Key Dr, Tampa, FL 33615-4284 | 2018-01-26 |
| 1982117792 | Amy Schreyer Rowe | Social Worker | 3811 W El Prado Blvd, Tampa, FL 33629-8612 | 2017-11-15 |
| Find all providers in TAMPA | ||||
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| 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.