Samantha Jo Butcher, LMSW
Individual provider Active NPI Clinical Social Worker · Zeeland, MI
NPI 1366167231 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1366167231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801109039 (MI)
- Practice address
- 3339 Thornberry CT
Zeeland, MI 49464-8618 - Phone
- (616) 633-7610
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801109039 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801109039 | MI | Yes |
Addresses
Primary practice location
3339 Thornberry CT
Zeeland, MI 49464-8618
Mailing address
3339 Thornberry CT
Zeeland, MI 49464-8618
Phone (616) 633-7610
Other names
- Samantha Jo Rose
Other providers in Zeeland, MI
- Katie Jo Bruins
- Sophia Bultema
- Bunte'S Pharmacy, Inc
- Bunte'S Pharmacy, Inc
- William Jason Burgess IV
- Butternut Chiropractic PC
- Jeramie Z Byers
- Sarah Elizabeth Byler
- Sofia Byrum
- Sandra J Cammenga
All providers in Zeeland, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.