Individual provider Active NPI

Samantha Noel

  • Clinical Social Worker
  • Mount Pleasant, MI
National Provider Identifier
1891273082
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114111 Issued in MI
Practice address
301 S Crapo St Ste 100
Mount Pleasant, MI 48858-2941
Phone
(989) 772-5938
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801114111 MI Primary

Addresses

Primary practice location

301 S Crapo St Ste 100
Mount Pleasant, MI 48858-2941

Mailing address

322 E Antietam St Ste 101
Hagerstown, MD 21740-5736

Other practice location 1

322 E Antietam St Ste 101
Hagerstown, MD 21740-5736
Phone (301) 733-2431

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
I20220524001322 MI Practitioner - Clinical Social Worker 1951788371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Mental Health for Central MichiganGroup PAC ID 4688660533, 44 clinicians

Practice addresses (Care Compare)

218 Fast Ice Dr
Midland, MI 48642-6167
Phone (989) 631-2320

301 S Crapo St
Mt Pleasant, MI 48858-2941
Phone (989) 772-5938

500 S 3Rd Ave
Big Rapids, MI 49307-9501
Phone (231) 796-5825

655 E Cedar Ave
CMH for Central Michigan
Gladwin, MI 48624-2215
Phone (989) 426-9295

789 N Clare Ave
CMH for Central Michigan
Harrison, MI 48625-8250
Phone (989) 539-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114111MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Clinical CurrentSince Apr 25, 2022 Accepting new patients

Locations

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1891273082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST STE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST STE 100",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 E Antietam St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405736",
            "country_code": "US",
            "telephone_number": "301-733-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOEL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.