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NPI Code Detail

MEDICARE: SAMANTHA DALY LMSW

MEDICARE: SAMANTHA DALY 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 Worker6801120521MI

General Provider Information

NPI Number : 1518583467
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA DALY LMSW
Provider Business Mailing Address
First Line : 2500 E GRAND RIVER AVE
Second Line :
City : LANSING
State : MI
Zip : 48912-4314
Country : US
Telephone Number : 231-330-5315
Fax Number :
Provider Business Practice Location Address
First Line : 2535 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-1913
Country : US
Telephone Number : 517-648-9376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 01/10/2026

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Directions to “ SAMANTHA DALY LMSW” Practice Location

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