Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charmaine Sophia-Samara Ford, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821330390

Charmaine Sophia-Samara Ford, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
Specialties on file
2

Practice location Address checks out

2106 Ayrsley Town Blvd Unit B
Charlotte, NC 28273-4217
Phone: (252) 258-7627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 3164-A (NC)
Social Worker Taxonomy 104100000X

Record details

NPI number1821330390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedMarch 22, 2013
Last updated in NPPESMarch 22, 2013

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