Individual provider Active NPI

Samantha Garcia, LMSW - C

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1760041206
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113737 Issued in MI
Practice address
2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Phone
(231) 943-2252
Fax
(231) 943-2555
NPI assigned
Jun 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 6801113737 MI Primary

Addresses

Primary practice location

2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168

Mailing address

2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Phone (231) 943-2252

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
I20220211000361 MI Practitioner - Clinical Social Worker 9638455835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801113737MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimacare Home Health Inc. Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince May 13, 2024 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

2785 Garfield Rd N
Ste C
Traverse City, MI 49686
Phone (231) 252-0518

3180 Racquet Club Dr
Ste D
Traverse City, MI 49684
Phone (231) 252-0518

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 2

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": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1760041206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 GARFIELD RD N STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865168",
            "telephone_number": "231-943-2252",
            "fax_number": "231-943-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 GARFIELD RD N STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865168",
            "telephone_number": "231-943-2252",
            "fax_number": "231-943-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SAMANTHA",
        "credential": "LMSW - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.