Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA MEDEIROS FREDERICKS, CADC

Active

Addiction (Substance Use Disorder) Counselor · SOUTH PORTLAND, ME

Registration Details

NPI Number: 1164375507
Provider Type: Individual
Gender: Female
NPI Issued: Feb 17, 2026 (0.19324630081624 yrs)
Last Updated: Feb 17, 2026
License: CAC9317 (ME)

Practice Information

Address: 400 WESTERN AVE

SOUTH PORTLAND, ME, 041061704
Browse ME providers · Browse ZIP 04106
Phone: 2074050003
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in SOUTH PORTLAND, ME

Name	Credential	NPI
MRS. LAUREN S MANCHESTER	LADC	1639269384
MS. MARLENE DRUMMOND SILVA	LCPC-C, LADC	1629126743
SANDRA J TAYLOR	LADC	1982818308
DR. BRUCE ASHLEY DYER	L.A.D.C.	1588872881
MS. KELLEY ELIZABETH MACKENZIE	MS, LADC	1740587666
JULIE WYONA VECCHIO	CCS, LADC	1053667634

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.