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

Samisha Tankeyia Rose

Individual provider Clinical Social Worker · NPI 1962271254

Samisha Tankeyia Rose is a Clinical Social Worker in Fayetteville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834
Phone: (910) 339-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 W Calhoun St, Dillon, SC 29536-4014 — (843) 627-3121

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P024139 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (NC)

Record details

NPI number1962271254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2023
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

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