Samantha Kern, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801102949 Issued in MI

Practice address

1785 W Stadium Blvd Ste 203C
Ann Arbor, MI 48103-5291

Phone

(734) 913-1093

Fax

(734) 369-2683

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Carey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1245717271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 203C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035291",
            "telephone_number": "734-913-1093",
            "fax_number": "734-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 203C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035291",
            "telephone_number": "734-913-1093",
            "fax_number": "734-369-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "SAMANTHA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CAREY",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Regina Ann Keranen
• Kevin B Kerber, MD
• David Freeman Keren, MD
• Ashwini Prafulla Kerkar, MD
• Kristine Kern-Collins, PHARMD, BCPS
• Wendy Kern, LMSW
• Hannah Lynn Kerns, DDS
• Karen Marie Kerns, BCPP, RCST, LMT
• Eve Askanas Kerr, MD
• Marsi Nicole Kerr, CRNA

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Jul 9, 2019; 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.