Samantha Jo Southard, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851117866 Issued in MI

Practice address

2460 Burton St SE Ste 101
Grand Rapids, MI 49546-4800

Phone

(616) 309-0737

NPI assigned

Apr 6, 2026

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1679415137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MANZANA CT NW APT 3D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347128",
            "telephone_number": "616-901-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464800",
            "telephone_number": "616-309-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Devon Southerland, RN, IBCLC
• Joann Southern, 2705001197
• Elaina J Southwell, LMSW
• Thompson Southwell Jr., MD

• All providers in Grand Rapids, MI
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.