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DR. SANDRA LEA SAMONS PH.D. M.S.W. NPI 1376536367


NPI Information

NPI: 1376536367
Provider Name: DR. SANDRA LEA SAMONS, PH.D., M.S.W.
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1480 SHEVCHENKO DR
ANN ARBOR, MI
ZIP 48103
Phone: (734) 663-7871
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DR. Sandra Lea Samons, PH.D., M.S.W. is a social worker in Ann Arbor, MI with 48 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. DR. Sandra Lea Samons, PH.D., M.S.W. NPI is 1376536367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1480 SHEVCHENKO DR
ANN ARBOR, MI
ZIP 48103-001
Phone: (734) 663-7871

The NPI 1376536367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 5/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)2-00035MICHIGANNo
2104100000XSocial WorkerGENDER IDENTITY SPECMICHIGANNo
31041C0700XSocial WorkerClinical6810103579MICHIGANNo
4106H00000XMarriage & Family Therapist4101005512MICHIGANNo
5104100000XSocial Worker6801013579MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18499OTHERMICHIGANMI ASSC OF A/DA COUNSELOR
24101005512OTHERMICHIGANLMFT
32-00035OTHERMICHIGANMI CERT. BOARD FOR ADDIC
46801013579OTHERMICHIGANREGISTERED CERTIFIED S. W

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.