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

Mr. Samuel Wade Everette

Individual provider Clinical Social Worker · NPI 1629242219

Mr. Samuel Wade Everette is a Clinical Social Worker in Smithfield, North Carolina. Qualified in 2007, 19 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2008
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Practice location Address checks out

521 N Brightleaf Blvd Johnston County Mental Health Ctr
Smithfield, NC 27577-4407
Phone: (919) 989-5500
Fax: (919) 989-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P004195 (NC)

Record details

NPI number1629242219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESApril 15, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smithfield