Samantha Kesterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114489

Practice address

1780 David CT
Ann Arbor, MI 48105-1236

Phone

(989) 289-2441

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Keeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Samantha Kesterson, LMSW PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Ann Arbor, MI
  • NPI 1114761871
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1528779352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 280",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 DAVID CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051236",
            "telephone_number": "989-289-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTERSON",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6801114489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KEELER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adhithi Kesari, DMD
• Kilak N Kesha, MD
• Neptune Keshavarzi
• Julia Kessler-Hollar, LMSW
• Suzanne Kessler
• Sean K Kesterson, MD
• Amalia Elmira Ketcham
• Scott William Ketcham, MD
• Cynthia Leigh Ketcherside, MA, LPC, NCC, ACS
• Sarah Ann Ketelhut, PA

• 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 Dec 13, 2022; 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.