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: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1480 SHEVCHENKO DR
ANN ARBOR, MI
ZIP 48103
Phone: (173) 466-3787
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DR. Sandra Lea Samons, PH.D., M.S.W. is an addiction (substance use disorder) counselor in Ann Arbor, MI with 48 years of experience. 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: (173) 466-3787

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 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2-00035	MICHIGAN	Yes
2	104100000X	Social Worker		GENDER IDENTITY SPEC	MICHIGAN	X
3	1041C0700X	Social Worker	Clinical	6810103579	MICHIGAN	X
4	106H00000X	Marriage & Family Therapist		4101005512	MICHIGAN	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6801013579	OTHER	MICHIGAN	REGISTERED CERTIFIED S. W
2	8499	OTHER	MICHIGAN	MI ASSC OF A/DA COUNSELOR
3	4101005512	OTHER	MICHIGAN	LMFT
4	0890572	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MENTAL HEALTH
5	2-00035	OTHER	MICHIGAN	MI CERT. BOARD FOR ADDIC

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: 11/14/2023

NPI Synchronization or Removal

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