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NPI Code Detail

MEDICARE: SAMANTHA LEIGH AKERMAN LMSW

MEDICARE: SAMANTHA LEIGH AKERMAN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801091661MI
2104100000XSocial Worker6801091661MI

General Provider Information

NPI Number : 1689963993
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA LEIGH AKERMAN LMSW
Provider Business Mailing Address
First Line : 8340 14 MILE RD NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-9527
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5270 NORTHLAND DR NE STE 2B
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-1073
Country : US
Telephone Number : 616-951-1277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2011
Last Update Date : 06/23/2022

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