Carmelita Reyes Samuel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082065 Issued in MI

Practice address

1130 Tienken CT Ste 223
Rochester Hills, MI 48306-4370

Phone

(248) 291-7216

Fax

(313) 561-0709

NPI assigned

Mar 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 22, 2025 through Jun 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Office of Carmelita R Samuel,MSW PLLC

  • Clinical Social Worker
  • Rochester HLS, MI
  • NPI 1699355636
  NPD Authorized official

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1548569841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TIENKEN CT",
            "city": "ROCHESTER HLS",
            "state": "MI",
            "postal_code": "483064367",
            "telephone_number": "248-291-7216",
            "fax_number": "248-221-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TIENKEN CT STE 223",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064370",
            "telephone_number": "248-291-7216",
            "fax_number": "313-561-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "CARMELITA",
        "middle_name": "REYES",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer Obeid DMD P C
• Samir Al-Hadidi MD PC
• Samir Alhadidi MC PC
• Robert Sampson, LPN
• Rachel A. Samsel-Militello, DPM
• Joshua Samuel
• Erika Danielle Samulak, MA, LPC
• Chris Deva Samy, MD, MS, MPH, MBA
• Nichole Sanday
• John R Santa Ana, DO

• Clinical Social Worker in Rochester Hills, MI
• Providers in Rochester Hills, 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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.