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NPI Code Detail

MEDICARE: MICHELLE SAMS LCSW

MEDICARE: MICHELLE SAMS LCSW
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
11041C0700XClinical Social Worker0904009899VA

General Provider Information

NPI Number : 1619402096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SAMS LCSW
Provider Business Mailing Address
First Line : 5821 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-5427
Country : US
Telephone Number : 804-264-0965
Fax Number : 804-264-1029
Provider Business Practice Location Address
First Line : 5821 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-5427
Country : US
Telephone Number : 804-264-0965
Fax Number : 804-264-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2017
Last Update Date : 02/03/2026

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Directions to “ MICHELLE SAMS LCSW” Practice Location

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