Individual provider Active NPI

Samuel Marano, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1881807360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019329 Issued in MI
Practice address
220 Bagley St
Suite 1100
Detroit, MI 48226-1400
Phone
(313) 961-1032
Fax
(313) 961-1047
NPI assigned
May 8, 2007
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 6801019329 MI Primary

Addresses

Primary practice location

220 Bagley St
Suite 1100
Detroit, MI 48226-1400

Mailing address

2957 River Meadow Cir
Canton, MI 48188-2332
Phone (734) 495-1817

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881807360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 RIVER MEADOW CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882332",
            "telephone_number": "734-495-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAGLEY ST",
            "address_2": "SUITE 1100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261400",
            "telephone_number": "313-961-1032",
            "fax_number": "313-961-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANO",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019329",
            "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.