Individual provider Active NPI

Karen Ann Samosiuk, MSW

  • Clinical Social Worker
  • Bingham Farms, MI
National Provider Identifier
1477898559
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
30800 Telegraph Rd
Suite 2800
Bingham Farms, MI 48025-4542
Phone
(248) 593-0129
Fax
(248) 593-0117
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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 Primary

Addresses

Primary practice location

30800 Telegraph Rd
Suite 2800
Bingham Farms, MI 48025-4542

Mailing address

30800 Telegraph Rd
Suite 2800
Bingham Farms, MI 48025-4542
Phone (248) 593-0129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1477898559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "address_2": "SUITE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542",
            "telephone_number": "248-593-0129",
            "fax_number": "248-593-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "address_2": "SUITE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542",
            "telephone_number": "248-593-0129",
            "fax_number": "248-593-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOSIUK",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.