Individual provider Active NPI

Samuel Hobbs, LMSW

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1346622701
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089785 Issued in MI
Practice address
334 E Drayton St
Ferndale, MI 48220-1385
Phone
(248) 688-2649
NPI assigned
Jun 22, 2015
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089785 MI Primary

Addresses

Primary practice location

334 E Drayton St
Ferndale, MI 48220-1385

Mailing address

334 E Drayton St
Ferndale, MI 48220-1385
Phone (248) 688-2649

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013117 MI Practitioner - Clinical Social Worker 7214242668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

735 S Garfield Ave
200 Traverse City
Traverse City, MI 49686-3471
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089785MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince Jul 13, 2015 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 27, 2022 Accepting new patients
A Better Tomorrow Counseling and Consultation Services, LLC PastSince Jul 19, 2017 Accepting new patients

Locations

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

735 S Garfield Ave
Ste 200
Traverse City, MI 49686
Phone (231) 409-3900

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1346622701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E DRAYTON ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201385",
            "telephone_number": "248-688-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E DRAYTON ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201385",
            "telephone_number": "248-688-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "SAMUEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.