Office of Carmelita R Samuel,MSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OFFICE OF CARMELITA R SAMUEL,MSW PLLC

Practice address

1130 Tienken CT Ste 233
Rochester HLS, MI 48306-4367

Phone

(248) 291-7216

Fax

(248) 221-5518

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Prof. Carmelita Reyes Samuel, LMSWNPI 1548569841

Title

Owner

Phone

(248) 291-7216

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmelita Reyes Samuel, LMSW

  • Clinical Social Worker
  • Rochester Hills, MI
  • NPI 1548569841
  NPD Authorized official
• Madilyn Yvette Sherbrooke

  • Mental Health Counselor
  • Rochester Hills, MI
  • NPI 1588522015
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1699355636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "248-221-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TIENKEN CT STE 233",
            "city": "ROCHESTER HLS",
            "state": "MI",
            "postal_code": "483064367",
            "telephone_number": "248-291-7216",
            "fax_number": "248-221-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF CARMELITA R SAMUEL,MSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-291-7216",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Baker PT PC
• Michelle Elizabeth Thorpe
• Marganit Weinberg, PT, DPT
• Ethan Wright

• Clinical Social Worker in Rochester HLS, MI
• Providers in Rochester HLS, 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 20, 2021; 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.