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Samson Mccoy

Social Worker β€’ Fargo, ND

Active NPI 1730566340 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2624 9th Ave S
Fargo, ND 581032350

Call 7012984500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2624 9th Ave S

Fargo, ND 581032350

Telephone 7012984500
Fax 7012984400
Organization at the Same NPPES Address or Phone
Southeast Human Service Center Facility NPI 1245284850

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 7 distinct group names: Badlands Human Service Center; Lake Region Human Service Center; North Central Human Service Center and 4 more. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samson Mccoy has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samson Mccoy as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fargo and North Dakota

269 active clinicians are listed under Social Worker with a practice address in Fargo, ND (843 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fargo

1.5% of these 269 clinicians have the CMS telehealth indicator.

3.3% of these 269 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20231013002862

Enrollment State Jurisdiction

ND

PECOS Control ID

5698120475

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Timothy Vo , MD

Psychiatry & Neurology - Psychiatry

NPI 1063447910

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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

Social Worker (license number reported to NPPES: ND 5892)

βœ…
NPI Profile Active May 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 04, 2015

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

πŸ“
Business Mailing Address (Initial Record) May 04, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) May 04, 2015

Recorded as SAMSON MCCOY

πŸŽ“
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.

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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

Other Social Workers in Fargo

Healthcare providers in Fargo

Mailing Address

2624 9th Ave S

Fargo, ND 581032350

Phone: 7012984500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.