SAMANTHA LOAN
NPI 1336795194
Social Worker - Clinical in Grand Rapids, MI

Q: What is Samantha Loan's NPI number?

The NPI number for Samantha Loan is 1336795194. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Q: What is Samantha Loan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Loan was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since August 16, 2019

1939 DIVISION AVE. S, GRAND RAPIDS, MI 49507(616) 247-3815(616) 245-0450 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Aug 16, 2019 (2 updates tracked since 2019).

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About Samantha Loan NPPES

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

SAMANTHA LOAN (NPI 1336795194) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851116205) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1336795194

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA LOAN

Location Address1939 DIVISION AVE. SGrand Rapids, MI 49507

Mailing Address1939 Division Ave. SGrand Rapids, MI 49507 · (616) 247-3815 · Fax (616) 245-0450

Phone(616) 247-3815

Fax(616) 245-0450

Sole ProprietorNo

Enumeration DateAugust 16, 2019

Last NPPES UpdateJune 16, 20232 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1336795194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6851116205

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.

1939 DIVISION AVE. S, Grand Rapids, MI 49507

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BREANNE HUISMAN-WOY LMSW

Social Worker (Clinical)