Provider Demographics
NPI:1063203628
Name:STEARNS, SAMANTHA ALYSSIA (BS)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ALYSSIA
Last Name:STEARNS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16B KINGSBURY ST # B
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1495
Mailing Address - Country:US
Mailing Address - Phone:508-871-6603
Mailing Address - Fax:
Practice Address - Street 1:16B KINGSBURY ST # B
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1495
Practice Address - Country:US
Practice Address - Phone:508-871-6603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)