Samson McCoy
NPI 1730566340ActiveIndividual· Social Worker· Fargo, ND
Social Worker with Southeast Human Service Center and 6 other groups, practicing in Fargo, North Dakota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1730566340 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 4, 2015 |
| Last updated in NPPES | Sep 9, 2020 |
| Certified by provider | Sep 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 5892 | ND |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Southeast Human Service CenterFargo, ND · 29 clinicians
- Northeast Human Service CenterGrand Forks, ND · 23 clinicians
- South Central Human Service CenterJamestown, ND · 23 clinicians
- North Central Human Service CenterMinot, ND · 22 clinicians
- Badlands Human Service CenterDickinson, ND · 18 clinicians
- West Central Human Service CenterBismarck, ND · 15 clinicians
- Lake Region Human Service CenterDevils Lake, ND · 15 clinicians
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All 269 social workers in Fargo · All social workers in North Dakota