Samantha Marie Fuller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4407 Clayborne Dr Apt 301
Kalamazoo, MI 49009-2751

Phone

(269) 373-6000

NPI assigned

Jan 27, 2026

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1063361574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 CLAYBORNE DR APT 301",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 CLAYBORNE DR APT 301",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092751",
            "telephone_number": "269-373-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Christine Frostell, LLMSW
• Julia Sophie Fruh, M.D.
• Fruit Belt Counseling PLLC
• Jose Fuertes, M.D.
• Noelle Kimiko Fukuda
• Susan Fuller, RNC WHNP
• Sarah Fullmer
• Edwin Lauritz Fundingsland Jr., DO
• Donna C. Funk, R.N. CDE BC-ADM
• Brandi Fyke

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.