Teresa Samuel
LIFESOURCE OF NORTH CAROLINA


Address: 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Phone: 9107429243

Teresa Samuel (NPI# 1235489832, PAC ID# 0547529141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1235489832
PAC ID by PECOS 0547529141
Professional Enrollment ID I20180104000887
Full Name Teresa Samuel
Organization Legal Name LIFESOURCE OF NORTH CAROLINA
Address 3205 Randall Pkwy
Suite 105
Wilmington
NC 28403-2565
Phone Number 9107429243
Gender F
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 7416132428
Number of Group Practice Members 122
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3080 Hwy 15-401 E, Mc Coll, SC 29570-6128 8435235751 CARESOUTH CAROLINA INC.
4002 Executive Park Blvd, Suite 300, Southport, NC 28461-9080 9107429243 LIFESOURCE OF NORTH CAROLINA
3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 9107429243 LIFESOURCE OF NORTH CAROLINA

Organization Information

Organization Legal Name LIFESOURCE OF NORTH CAROLINA
Physicians 130

Physicians with the same organization

Name Specialty Organization Address
Alfred John Howard Clinical Social Worker Lifesource of North Carolina 1901 Libbie Ave, Richmond, VA 23226-1808
Crystal Dawn Coleman Nurse Practitioner Lifesource of North Carolina 390 Park Ave, Hazard, KY 41701-9548
Nicole S Wright Clinical Social Worker Lifesource of North Carolina 1345 Redmond Cir Nw, Rome, GA 30165-1307
Charles Whetsell Psychologist, Clinical Lifesource of North Carolina 1424 Montclair Rd, Irondale, AL 35210-2208
Judith G Benson Clinical Nurse Specialist Lifesource of North Carolina 1611 Constiturion Blvd, Rock Hill, SC 29732-3047
Kimberly Elaine Brown Psychologist, Clinical Lifesource of North Carolina 1915 Ebenezer Rd, Rock Hill, SC 29732-1013
Kevin C Settles Psychologist, Clinical Lifesource of North Carolina 1678 Montgomery Hwy, Vestavia Hills, AL 35216-4914
Nakeya Johnson Gore Clinical Social Worker Lifesource of North Carolina 1345 Redmond Rd, Rome, GA 30345
Andrea B Hunt Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
July Morbeth Physician Assistant Lifesource of North Carolina 2006 Pelham Rd, Greenville, SC 29615-4005

Office Location

Street Address 3205 RANDALL PKWY
SUITE 105
City WILMINGTON
State NC
Zip 28403-2565

Physicians in the same location

Name Specialty Organization Address
Andrea B Hunt Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Virginia Lyon Clinical Social Worker Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Anna Resnick Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Lashanda Brown Nurse Practitioner Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Linda D Cappiello Nurse Practitioner Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Lindy W Kitchin Clinical Social Worker Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Arlene G Gallan Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Lois H Reed Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Karen A Talbert Physician Assistant Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Donald W Hudson Psychologist, Clinical Lifesource of North Carolina 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Maria Tar Clinical Social Worker 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383
Christopher R Myers Psychiatry Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Brett A Gurkin Psychiatry Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Geoffrey D Holland Physician Assistant Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Patricia Davis Prichard Clinical Social Worker Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Katherine Sharon Martin Clinical Social Worker Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Catherine Marie Dalton Clinical Social Worker Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Joseph Painter Clinical Social Worker Physician Alliance for Mental Health, LLC 3208 Oleander Dr, Wilmington, NC 28403-0800
Rasika Khatu Whitesell Optometry Myeyedr Optometry of North Carolina Pllc 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824
Thomas M Walent Iii Optometry The Eye Center Doctors of Optometry Pa 3500 Oleander Dr, B10, Wilmington, NC 28403-0842
Find all physicians in zip 28403

Competitor

Search similar physicians

City WILMINGTON
Zip Code 28403
Specialty CLINICAL SOCIAL WORKER
City + Specialty WILMINGTON + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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