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SAMANTHA JO CALLICOAT
NPI 1528543147
Counselor - Mental Health in San Diego, CA

Active since September 28, 2018
1963 4TH AVE, SAN DIEGO, CA 92101(619) 233-3432 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Samantha Jo Callicoat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JO CALLICOAT (NPI 1528543147) is an individual mental health provider in San Diego, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1528543147
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA JO CALLICOAT
Location Address1963 4TH AVESan Diego, CA 92101-2394
Mailing Address1963 4th AveSan Diego, CA 92101-2394 · (619) 233-3432
Phone(619) 233-3432
Sole ProprietorNo
Enumeration DateSeptember 28, 2018
✔ NPI 1528543147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1963 4TH AVE, San Diego, CA 92101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDY PALOMA PHILBIN MSW
Counselor (Mental Health)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
TIFFANI SI WANG
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
CATHLEEN MARION ESTERHAY
Peer Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
ANA TOPETE
Day Training/Habilitation Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
MAYSUN KHAN LCSW
Social Worker (Clinical)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
JENNIFER RUBALCABA
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
LEON JOSHUA RUBIO RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1963 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 233-3432
CRISTIAN STANCIU
Student in an Organized Health Care Education/Training Program
1963 4TH AVE, ARETA CROWELL BPSR CENTER
SAN DIEGO, CA 92101
San Diego County (619) 233-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Callicoat's NPI number?

The NPI number for Samantha Callicoat is 1528543147. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Where is Samantha Callicoat located?

Samantha Callicoat practices at 1963 4th Ave, San Diego, CA 92101. The listed phone number is (619) 233-3432.

What is Samantha Callicoat's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Callicoat was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.