Organization Active NPI

C-Sam Services & Management

  • Clinical Social Worker
  • Clio, MI
National Provider Identifier
1225791940
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
C-SAM SERVICES & MANAGEMENT
Doing business as
C-SaM Services & Management
Practice address
740 Center St
Clio, MI 48420-1148
Phone
(810) 686-7313
Fax
(810) 686-7315
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Mrs. Kathleen Theresa Diaz
Title
Office Manager
Phone
(810) 686-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

740 Center St
Clio, MI 48420-1148

Mailing address

740 Center St
Clio, MI 48420-1148
Phone (810) 686-7313

Other names 1

  • C-SaM Services & Management Doing business as

National Provider Directory

National Provider Directory

Locations

740 Center St
Clio, MI 48420
Phone (810) 686-7313

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1225791940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CENTER ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201148",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CENTER ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201148",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-SAM SERVICES & MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-686-7313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C-SaM Services & Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.