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SAMANTHA BOUTIN LMSW
NPI 1952026114
Social Worker - Clinical in Clinton Township, MI

Active since October 10, 2022PECOS Enrolled
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038(800) 395-3223(248) 620-6405 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 24, 2026, Apr 8, 2024, Oct 10, 2022 (3 updates tracked since 2022).

About Samantha Boutin Lmsw NPPES

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

SAMANTHA BOUTIN LMSW (NPI 1952026114) is an individual clinical provider in Clinton Township, Michigan, licensed in Michigan (6801121949) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1952026114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA BOUTINCredential: LMSW
Location Address42669 GARFIELD RDClinton Township, MI 48038-1653
Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (800) 395-3223 · Fax (248) 620-6405
Phone(800) 395-3223
Fax(248) 620-6405
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateOctober 10, 2022
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1952026114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801121949✔ Licensed in MI · 6851108737
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.
42669 GARFIELD RD, Clinton Township, MI 48038
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Secondary Practice Location 1

Location 127085 Gratiot Ave Ste 107Roseville, MI 48066-2984 · Phone (596) 204-5560 ext. 12

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Boutin Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688140700
PECOS Enrollment IDI20260416002003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. MEGAN L HEBERT LPC, NCC
Counselor (Professional)
42669 GARFIELD RD
CLINTON TWP, MI 48038
Macomb County (586) 412-5321
BRITTANY WILTSE RN
Registered Nurse
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (800) 395-3223
MALEAH LYNN MONTNEY LLMSW
Social Worker (Clinical)
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-5321
NICOLE WALBY MALLPC
Counselor (Professional)
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-5321
ELLEN MAYFIELD-FLEMING MALLP
Psychologist (Clinical)
42669 GARFIELD RD
CLINTON TWP, MI 48038
Macomb County (586) 412-5321
BRITNI BURTON LLPC
Counselor (Professional)
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-5321
LINDSEY RUTLEDGE
Counselor (Professional)
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-5321
BETTY YOUNG BA
Case Manager/Care Coordinator
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-5321

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 Boutin's NPI number?

The NPI number for Samantha Boutin is 1952026114. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Samantha Boutin located?

Samantha Boutin practices at 42669 Garfield Rd, Clinton Township, MI 48038. The listed phone number is (800) 395-3223.

What is Samantha Boutin's specialty?

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

Is Samantha Boutin enrolled in Medicare?

Yes. Samantha Boutin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Boutin was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.