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

Samuel Woldemichael

Individual provider Professional Counselor · NPI 1124637863

Samuel Woldemichael is a Mental Health Counselor in Hyattsville, Maryland. Qualified in 2016, 10 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2020

Practice location Address checks out

3415 Hamilton St Ste 9
Hyattsville, MD 20782-3953
Phone: (301) 538-5659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC10486 (MD)

Record details

NPI number1124637863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2020
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address8604 Nightingale Dr, Lanham, MD 20706-3953

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hyattsville