Active NPI
Samantha Valdovinos
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1225433618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801096768
- Practice address
- 5635 W Fort St
Detroit, MI 48209-3154 - Phone
- (313) 849-3920
- NPI assigned
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801096768 | MI | Primary |
Addresses
Primary practice location
5635 W Fort St
Detroit, MI 48209-3154
Mailing address
37799 Professional Center Dr Ste 106
Livonia, MI 48154-1123
Phone (248) 343-4695
Other practice location 1
2311 E Stadium Blvd Rm 6
Ann Arbor, MI 48104-4833
Phone (734) 620-4351
Other practice location 2
37799 Professional Center Dr Ste 106
Livonia, MI 48154-1123
Phone (248) 343-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096768 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonebrook Counseling Associates PLLC | Past | Accepting new patients | |
| Community Health and Social Services Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- ssantos626817@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1982694196
-
- Social Worker
- Livonia, MI
- NPI 1861571846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1225433618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37799 PROFESSIONAL CENTER DR STE 106",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541123",
"telephone_number": "248-343-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5635 W FORT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482093154",
"telephone_number": "313-849-3920"
}
],
"practiceLocations": [
{
"address_1": "2311 E Stadium Blvd Rm 6",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481044833",
"country_code": "US",
"telephone_number": "734-620-4351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37799 Professional Center Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541123",
"country_code": "US",
"telephone_number": "248-343-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDOVINOS",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801096768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.