Individual provider Active NPI

Samantha Kaylee Steinebach

  • Clinical Social Worker
  • Fife Lake, MI
National Provider Identifier
1699518456
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118574 Issued in MI
Practice address
9147 Shippy Rd SW
Fife Lake, MI 49633-9207
Phone
(231) 492-6789
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 6801118574 MI Primary

Addresses

Primary practice location

9147 Shippy Rd SW
Fife Lake, MI 49633-9207

Mailing address

9147 Shippy Rd SW
Fife Lake, MI 49633-9207
Phone (231) 492-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731000706 MI Practitioner - Clinical Social Worker 8224575964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Water Mental Health ClinicGroup PAC ID 2769477264, 23 clinicians

Practice addresses (Care Compare)

1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801118574MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Mental Health Clinic Clinical CurrentSince Jul 1, 2024 Accepting new patients
NPI 1891833810 Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

1501 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 985-5125

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1699518456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9147 SHIPPY RD SW",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339207",
            "telephone_number": "231-492-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9147 SHIPPY RD SW",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339207",
            "telephone_number": "231-492-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINEBACH",
        "first_name": "SAMANTHA",
        "middle_name": "KAYLEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife Lake, MI

Sources for this page

Verify at the official NPI Registry.