Individual provider Active NPI

David Sampson, MSW, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1841416153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
820152 Issued in MI
Practice address
445 Ledyard St
Detroit, MI 48201-2641
Phone
(313) 962-9446
Fax
(313) 962-6395
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 820152 MI Primary

Addresses

Primary practice location

445 Ledyard St
Detroit, MI 48201-2641

Mailing address

445 Ledyard St
Detroit, MI 48201-2641
Phone (313) 962-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
820152MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mariners Inn Current Accepting new patients
Mariners Inn Current Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
Senior Counseling Services, LLC Clinical PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841416153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LEDYARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012641",
            "telephone_number": "313-962-9446",
            "fax_number": "313-962-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LEDYARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012641",
            "telephone_number": "313-962-9446",
            "fax_number": "313-962-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "DAVID",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "820152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.