Samantha Leeck, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801100251 Issued in MI

Practice address

1910 E Miller Rd
Fairview, MI 48621-8731

Phone

(989) 848-5644

Fax

(989) 318-4606

NPI assigned

Dec 5, 2016

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.leeck.p1@direct.alcona.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552
  Medicare reassignment NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD
• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1508180662
  NPD (past)
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Fairview, MI
  • NPI 1558730234
  NPD (past)

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1770027112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E MILLER RD",
            "city": "FAIRVIEW",
            "state": "MI",
            "postal_code": "486218731",
            "telephone_number": "989-848-5644",
            "fax_number": "989-318-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEECK",
        "first_name": "SAMANTHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairview Clinic PLC
• Peggy Kay Fortin, LPC
• Cheryl Henry, NP
• Amanda Sue Higgins
• David Rex Hunter, MD
• Cherie A McKenzie, DC
• McLaren Bay Region
• McLaren Primary Care
• Northsport Physical Therapy & Rehabilitation PC
• Kelsie Passmore

• Clinical Social Worker in Fairview, MI
• Providers in Fairview, 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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.