Samantha Kesterson, LMSW PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SAMANTHA KESTERSON, LMSW PLLC

Practice address

1780 David CT
Ann Arbor, MI 48105-1236

Phone

(989) 289-2441

NPI assigned

Jun 19, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Kesterson, LMSWNPI 1528779352

Title

Clinician

Phone

(989) 289-2441

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Kesterson, LCSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1528779352
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1114761871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3584",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 DAVID CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051236",
            "telephone_number": "989-289-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA KESTERSON, LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KESTERSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "989-289-2441",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Salzberg, PSY.D.
• Larry B Salzmann, DDS
• Meriam Veronica Sam, NP
• Jane Reeves Ellis Samaha, MD MPH
• Samantha Cecil, LMSW, PLLC
• Samaritan Counseling Services
• Samaritan Counseling Services
• Samaritan Counseling Services
• Samaritas
• Shardha Rachelle Samaroo, NP

• Adolescent and Children Mental Health Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.