SAMANTHA DERDOWSKI LLMSW, DP-C
NPI 1750929063
Social Worker - Clinical in Bay City, MI

Active since December 17, 2019
1009 WASHINGTON AVE, BAY CITY, MI 48708(989) 928-3566 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Aug 4, 2022, Dec 17, 2019 (3 updates tracked since 2019).

About Samantha Derdowski Llmsw, Dp-c NPPES

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

SAMANTHA DERDOWSKI LLMSW, DP-C (NPI 1750929063) is an individual clinical provider in Bay City, Michigan, licensed in Michigan (6851116133) and active in the NPI registry since December 2019. She maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1750929063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA DERDOWSKICredential: LLMSW, DP-C
Location Address1009 WASHINGTON AVEBay City, MI 48708-5705
Mailing Address5925 Weiss St Apt D09Saginaw, MI 48603-2783 · (989) 293-7656
Sole ProprietorNo
Enumeration DateDecember 17, 2019
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1750929063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851116133
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.
1009 WASHINGTON AVE, Bay City, MI 48708

Secondary Practice Location 1

Location 12521 N Elms RdFlushing, MI 48433-9423 · Phone (810) 397-0586

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
1009 WASHINGTON AVE
BAY CITY, MI 48708
Social Worker (Clinical)
1009 WASHINGTON AVE
BAY CITY, MI 48708
Counselor (Addiction (Substance Use Disorder))
1009 WASHINGTON AVE
BAY CITY, MI 48708
Counselor (Addiction (Substance Use Disorder))
1009 WASHINGTON AVE
BAY CITY, MI 48708
Counselor (Addiction (Substance Use Disorder))
1009 WASHINGTON AVE
BAY CITY, MI 48708
Social Worker (Clinical)
1009 WASHINGTON AVE
BAY CITY, MI 48708
Social Worker (Clinical)
1009 WASHINGTON AVE
BAY CITY, MI 48708
Social Worker (Clinical)
1009 WASHINGTON AVE
BAY CITY, MI 48708

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 Derdowski's NPI number?

The NPI number for Samantha Derdowski is 1750929063. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Samantha Derdowski located?

Samantha Derdowski practices at 1009 Washington Ave, Bay City, MI 48708. The listed phone number is (989) 928-3566.

What is Samantha Derdowski'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 Derdowski was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.