Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Samuel John Gallagher-Stevens

Individual provider Community Health Worker · NPI 1962870519

Mr. Samuel John Gallagher-Stevens is a Community Health Worker in San Mateo, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

411 Borel Ave
San Mateo, CA 94402-3522
Phone: (650) 393-8922
Show map & directions

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

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X (CA)
Community Health Worker Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1962870519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2015
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 17, 2026

Other providers in San Mateo