NPIMap

Organization Active NPI

Samaritan Center of Southwest Michigan

  • Clinical Social Worker
  • Benton Harbor, MI
National Provider Identifier
1356514319
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801016920 Issued in MI
Legal business name
SAMARITAN CENTER OF SOUTHWEST MICHIGAN
Practice address
1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone
(269) 926-6199
Fax
(269) 926-6780
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Ms. Josephine C Cassar, LCSWNPI 1003080888
Title
Social Worker
Phone
(269) 926-6199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801016920 MI Primary
Marriage & Family Therapist 106H00000X 4101005789 MI

Addresses

Primary practice location

1850 Colfax Ave
Benton Harbor, MI 49022-6753

Mailing address

1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone (269) 926-6199

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1356514319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN CENTER OF SOUTHWEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "269-926-6199",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016920",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.