Individual provider Active NPI

Samantha Christine Coyne, LLMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1962946707
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098262 Issued in MI
Practice address
44990 Heydenreich Rd Ste D
Clinton Township, MI 48038-1558
Phone
(586) 372-9846
NPI assigned
Dec 13, 2016
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 6801098262 MI Primary

Addresses

Primary practice location

44990 Heydenreich Rd Ste D
Clinton Township, MI 48038-1558

Mailing address

44990 Heydenreich Rd Ste D
Clinton Township, MI 48038-1558
Phone (586) 372-9846

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
I20180110003588 MI Practitioner - Clinical Social Worker 7810256252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Hour Counseling Center, PLLC Clinical CurrentSince Nov 13, 2020 Accepting new patients

Locations

44990 Heydenreich Rd
Ste D
Clinton Twp, MI 48038
Phone (586) 372-9846

66 Market St
Mount Clemens, MI 48043
Phone (586) 372-9846

Organizations & group practices 1

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1962946707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44990 HEYDENREICH RD STE D",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381558",
            "telephone_number": "586-372-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44990 HEYDENREICH RD STE D",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381558",
            "telephone_number": "586-372-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.