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

Samantha Dubose

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871957365

Samantha Dubose is a Marriage and Family Therapist in Modesto, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5815 Stoddard Rd Ste 600
Modesto, CA 95356-9041
Phone: (209) 543-1874
Fax: (209) 543-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Poplar Ave, Modesto, CA 95354-0509 — (209) 550-5869

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 117273 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1871957365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Modesto