MEDICARE: SAMANTHA GUMUL PLLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1033945142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMANTHA GUMUL PLLC

Provider Business Mailing Address
First Line	:	3451 AMBER OAKS DR
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-7102
Country	:	US
Telephone Number	:	734-612-6295
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W HURON ST
Second Line	:
City	:	MILFORD
State	:	MI
Zip	:	48381-2242
Country	:	US
Telephone Number	:	734-335-1935
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	SAMANTHA N GUMUL
Credential	:	LMSW-C
Telephone Number	:	734-612-6295

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	02/04/2026

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