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Active NPI 1730566340 Individual Practitioner Male Practitioner

Samson Mccoy

Social Worker • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Samson Mccoy is a certified Social Worker practicing in Fargo, ND. With approximately 7 years of clinical experience since completing medical education in 2019, Samson Mccoy delivers high-quality medical care to the local community at 2624 9TH AVE S.

Samson Mccoy maintains professional affiliations with Southeast Human Service Center, Badlands Human Service Center, West Central Human Service Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2624 9th Ave S

Fargo, ND 581032350

Telephone 7012984500
Fax 7012984400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fargo, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
272 Specialists

Practicing in Fargo, ND (864 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccoy (7 Years) 7 Yrs
Fargo Specialty Average (7.3 Years) 7.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-09-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ND 5892

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Hospital & Practice Group Affiliations

Southeast Human Service Center

2624 9th Ave S, Fargo, ND 581032350

Phone: 7012984500

South Central Human Service Center

520 3rd St Nw, Jamestown, ND 584012968

Phone: 7012536300

North Central Human Service Center

1015 S Broadway, Minot, ND 587014667

Phone: 7018578500

Northeast Human Service Center

151 S 4th St, Grand Forks, ND 582014715

Phone: 7017953000

Lake Region Human Service Center

200 Hwy 2 W, Devils Lake, ND 583013532

Phone: 7016652200

West Central Human Service Center

1237 W Divide Ave, Bismarck, ND 585011208

Phone: 7013288888

Badlands Human Service Center

1463 I94 Business Loop E, Dickinson, ND 586016434

Phone: 7012277500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jenny West

Specialist

NPI 1003537044
Deton Hart

Counselor - Professional

NPI 1013670215
Sara Nicoli , MED, LAC

Counselor - Addiction (Substance Use Disorder)

NPI 1013929371

Master of Education, Licensed Acupuncturist

NPI 1023041241

Licensed Professional Clinical Counselor

NPI 1023441086

Licensed Social Worker

Tracy Diedrich

Case Manager/Care Coordinator

NPI 1033081708

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2020

Social Worker (License #5892 in ND)

NPI Profile Active May 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2015

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

📍
Updated Business Mailing Address May 04, 2015

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

👤
Provider Name / Credentials Updated May 04, 2015

Recorded as SAMSON MCCOY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2015

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration May 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730566340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2015
Last Update: September 09, 2020
Sole Proprietor: No

Mailing Address

2624 9th Ave S

Fargo, ND 581032350

Phone: 7012984500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.