MEDICARE: URIELLE SAMIS 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
1	1041C0700X	Clinical Social Worker	7437	TN

General Provider Information

NPI Number	:	1215396254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URIELLE SAMIS LCSW

Provider Business Mailing Address
First Line	:	116 AGNES RD STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-6306
Country	:	US
Telephone Number	:	615-447-8454
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 AGNES RD STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-6306
Country	:	US
Telephone Number	:	615-447-8454
Fax Number	:

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

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	05/17/2024

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Directions to “ URIELLE SAMIS LCSW” Practice Location

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