MEDICARE: CARNICE SAMANTHA MCFARLAND PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT0431	DC
2	103TC0700X	Clinical Psychologist	5224	NC

General Provider Information

NPI Number	:	1063579605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARNICE SAMANTHA MCFARLAND PSYD

Provider Business Mailing Address
First Line	:	PO BOX 538622
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30353-8622
Country	:	US
Telephone Number	:	910-535-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 ALBEMARLE ST NW
Second Line	:	#501
City	:	WASHINGTON
State	:	DC
Zip	:	20016
Country	:	US
Telephone Number	:	202-966-2033
Fax Number	:	202-966-2034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	06/03/2026

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