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SAMANTHA JO SOUTHARD LLMSW
NPI 1679415137
Social Worker in Grand Rapids, MI

Active since April 06, 2026
2460 BURTON ST SE STE 101, GRAND RAPIDS, MI 49546(616) 309-0737 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samantha Jo Southard Llmsw NPPES

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

SAMANTHA JO SOUTHARD LLMSW (NPI 1679415137) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851117866) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1679415137
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSAMANTHA JO SOUTHARDCredential: LLMSW
Location Address2460 BURTON ST SE STE 101Grand Rapids, MI 49546-4800
Mailing Address169 Manzana Ct Nw Apt 3dGrand Rapids, MI 49534-7128 · (616) 901-8611
Phone(616) 309-0737
Sole ProprietorYes
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1679415137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6851117866
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2460 BURTON ST SE STE 101, Grand Rapids, MI 49546
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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.

DESIREE HARMSEN
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
NICOLE MARIE MCCLELLAN
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
DOMINIC RICHARD PACIFIC
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
MAKEILA V ONUOHA
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 287-1201
TESSA M ARQUETTE
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (989) 313-7096
KELCIE BECK
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
LEYA WOODS
Behavior Analyst
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 888-6161
CASEY WASSENAAR
Behavior Technician
2460 BURTON ST SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201

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 Southard's NPI number?

The NPI number for Samantha Southard is 1679415137. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Samantha Southard located?

Samantha Southard practices at 2460 Burton St SE Ste 101, Grand Rapids, MI 49546. The listed phone number is (616) 309-0737.

What is Samantha Southard's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Samantha Southard was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.