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

Samson McCoy

Individual provider Case Manager/Care Coordinator · NPI 1730566340

Samson McCoy is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with North Central Human Service Center, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 5892 (ND)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1730566340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address2624 9th Ave S, Fargo, ND 58103-2350

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Central Human Service Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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