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SAMUEL DAVID SHERIDAN
NPI 1780023267
Case Manager/Care Coordinator in Clearlake, CA

Active since June 18, 2013
7000B S CENTER DR, CLEARLAKE, CA 95422(707) 994-7090(707) 994-7092 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel David Sheridan NPPES

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

SAMUEL DAVID SHERIDAN (NPI 1780023267) is an individual case manager/care coordinator provider in Clearlake, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1780023267
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSAMUEL DAVID SHERIDAN
Location Address7000B S CENTER DRClearlake, CA 95422-8131
Mailing AddressPo Box 4235Clearlake, CA 95422-4235 · (707) 994-7090 · Fax (707) 994-7092
Phone(707) 994-7090
Fax(707) 994-7092
Sole ProprietorYes
Enumeration DateJune 18, 2013
Last NPPES UpdateJune 19, 2013
✔ NPI 1780023267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
7000B S CENTER DR, Clearlake, CA 95422
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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.

WENDY GATTONI
Peer Specialist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 533-5829
KALI MULLIGAN
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MR. DENNIS BARTON SKINNER MFT
Marriage & Family Therapist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
TANISHA ROJO MEDICAL ASSISTANT
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 274-9101
ANGELA ALFORD-WHITING RN
Registered Nurse
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
RICHARD ALLAN COHN JR.
Counselor (Mental Health)
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MS. STEPHANIE OSTERMAN ODNEY CAADAC
Counselor (Addiction (Substance Use Disorder))
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-6494
ELIZABETH SALCEDO ABRICA MSW
Student in an Organized Health Care Education/Training Program
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090

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 Samuel Sheridan's NPI number?

The NPI number for Samuel Sheridan is 1780023267. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Samuel Sheridan located?

Samuel Sheridan practices at 7000B S Center Dr, Clearlake, CA 95422. The listed phone number is (707) 994-7090.

What is Samuel Sheridan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samuel Sheridan was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.