SAMANTHA MARIE FULLER
NPI 1063361574
Social Worker - Clinical in Kalamazoo, MI

Active since January 27, 2026
4407 CLAYBORNE DR APT 301, KALAMAZOO, MI 49009(269) 373-6000 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MARIE FULLER (NPI 1063361574) is an individual clinical provider in Kalamazoo, Michigan and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063361574
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA MARIE FULLER
Location Address4407 CLAYBORNE DR APT 301Kalamazoo, MI 49009-2751
Mailing Address4407 Clayborne Dr Apt 301Kalamazoo, MI 49009-2751
Sole ProprietorNo
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1063361574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4407 CLAYBORNE DR APT 301, Kalamazoo, MI 49009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Fuller's NPI number?

The NPI number for Samantha Fuller is 1063361574. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Samantha Fuller located?

Samantha Fuller practices at 4407 Clayborne Dr Apt 301, Kalamazoo, MI 49009. The listed phone number is (269) 373-6000.

What is Samantha Fuller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Samantha Fuller was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.