Brockmeyer, Samantha J
Brockmeyer, Samantha J is an individual health care provider with primary practice located at 25111 Country Club Blvd Ste 290 , North Olmsted OH 44070-5330. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brockmeyer, Samantha J can be contacted via phone (216) 468-5000.Contact Information
Primary practice address
25111 Country Club Blvd Ste 290
North Olmsted OH 44070-5330
Phone: (216) 468-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.169590 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2507429 | Ohio |
Profile Details
| NPI number | 1962980888 |
|---|---|
| LBN Legal business name | Brockmeyer, Samantha J |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2018 |
| Last updated | Mar 25th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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