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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164375507

Samantha Medeiros Fredericks, CADC is an Addiction (Substance Use Disorder) Counselor in South Portland, Maine. Licensed in Maine. Registered with an NPI since 2026.

Licensed in
ME
In the registry since
2026
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

400 Western Ave
South Portland, ME 04106-1704
Phone: (207) 405-0003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CAC9317 (ME)

Record details

NPI number1164375507
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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