Active NPI
Samantha Kayani
- Social Worker
- Waterford, MI
National Provider Identifier
1073299467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6852093689
- Practice address
- 5770 Highland Rd
Waterford, MI 48327-1877 - Phone
- (248) 301-1080
- NPI assigned
- Jun 22, 2023
- Reactivated
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6852093689 | MI | Primary |
Addresses
Primary practice location
5770 Highland Rd
Waterford, MI 48327-1877
Mailing address
PO Box 842
Troy, MI 48099-0842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1073299467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842",
"city": "TROY",
"state": "MI",
"postal_code": "480990842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271877",
"telephone_number": "248-301-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYANI",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"deactivation_date": "2025-08-18",
"reactivation_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6852093689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.