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SAMANTHA ANNE MALL LLMSW
NPI 1396337275
Specialist/Technologist, Other - Illustration, Medical in Southgate, MI

Active since February 11, 2021
19401 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Feb 11, 2021 (2 updates tracked since 2021).

About Samantha Anne Mall Llmsw NPPES

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

SAMANTHA ANNE MALL LLMSW (NPI 1396337275) is an individual illustration, medical provider in Southgate, Michigan and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1396337275
Entity TypeIndividualFemale
Primary Taxonomy246ZI1000X
Provider Legal NameSAMANTHA ANNE MALLCredential: LLMSW
Location Address19401 NORTHLINE RDSouthgate, MI 48195-2277
Mailing Address3751 North Dixie Highway MonroeMonore, MI 48162 · (574) 226-5895
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1396337275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Illustration, MedicalTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZI1000X
19401 NORTHLINE RD, Southgate, MI 48195
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES 20

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

BRITTANY GRIHORASH
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
CAITLIN MCPARTLIN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TERA FLEMING
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
KRISTEN COLLINS
Occupational Therapist
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
PAUL MROZEK
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
LAURA TOLLEFSON
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TANIA COSMAN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
DARIUS CHASE
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718

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 Mall's NPI number?

The NPI number for Samantha Mall is 1396337275. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Samantha Mall located?

Samantha Mall practices at 19401 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Samantha Mall's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Illustration, Medical, with taxonomy code 246ZI1000X.

What insurance does Samantha Mall accept?

Health plans from McLaren Health Plan Community list Samantha Mall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Mall was last updated on February 14, 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.