Individual provider Active NPI

Samantha Anne Schalk, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1841317773
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087493 Issued in MI
Practice address
4771 2 Mile Rd
Suite a
Bay City, MI 48706-2775
Phone
(989) 778-2323
Fax
(989) 778-2322
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 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 6801087493 MI Primary

Addresses

Primary practice location

4771 2 Mile Rd
Suite a
Bay City, MI 48706-2775

Mailing address

4771 2 Mile Rd
Suite a
Bay City, MI 48706-2775
Phone (989) 778-2323

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
I20071112000244 MI Practitioner - Clinical Social Worker 1254429129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4771 2 Mile Rd
Suite a
Bay City, MI 48706-2775
Phone (989) 778-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Schalk, PLLC Clinical CurrentSince Aug 1, 2016 Accepting new patients
Journey Counseling Center, LLC Clinical Current Accepting new patients

Locations

4771 2 Mile Rd
Ste A
Bay City, MI 48706
Phone (989) 778-2323

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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1841317773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 2 MILE RD",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062775",
            "telephone_number": "989-778-2323",
            "fax_number": "989-778-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 2 MILE RD",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062775",
            "telephone_number": "989-778-2323",
            "fax_number": "989-778-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.