SAMANTHA MOORE CDCA
NPI 1790210136
Counselor - Addiction (Substance Use Disorder) in Dover, OH

Active since April 24, 2017
897 E IRON AVE, DOVER, OH 44622(330) 343-5555(330) 365-3765 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Moore Cdca NPPES

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

SAMANTHA MOORE CDCA (NPI 1790210136) is an individual addiction (substance use disorder) provider in Dover, Ohio, licensed in Ohio (CDCA.163556) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1790210136
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA MOORECredential: CDCA
Location Address897 E IRON AVEDover, OH 44622-2030
Mailing Address897 E Iron AveDover, OH 44622-2030 · (330) 343-5555 · Fax (330) 365-3765
Fax(330) 365-3765
Sole ProprietorYes
Enumeration DateApril 24, 2017
NPI 1790210136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.163556
897 E IRON AVE, Dover, OH 44622

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.

Dentist
897 E IRON AVE
DOVER, OH 44622
Nurse Practitioner (Family)
897 E IRON AVE
DOVER, OH 44622
Community/Behavioral Health
897 E IRON AVE
DOVER, OH 44622
Counselor (Addiction (Substance Use Disorder))
897 E IRON AVE
DOVER, OH 44622
Counselor (Addiction (Substance Use Disorder))
897 E IRON AVE
DOVER, OH 44622
Counselor (Addiction (Substance Use Disorder))
897 E IRON AVE
DOVER, OH 44622
Clinic/Center (Rural Health)
897 E IRON AVE
DOVER, OH 44622
Counselor (Professional)
897 E IRON AVE
DOVER, OH 44622

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 Moore's NPI number?

The NPI number for Samantha Moore is 1790210136. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Samantha Moore located?

Samantha Moore practices at 897 E Iron Ave, Dover, OH 44622. The listed phone number is (330) 343-5555.

What is Samantha Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samantha Moore was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.