SAMANTHA L BANNENBERG LMSW
NPI 1992637821
Social Worker - Clinical in Kingsford, MI

Q: What is Samantha Bannenberg's NPI number?

The NPI number for Samantha Bannenberg is 1992637821. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Q: What is Samantha Bannenberg's specialty?

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

Active since June 03, 2026PECOS Enrolled

715 PYLE DR, KINGSFORD, MI 49802(906) 774-0522 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Samantha L Bannenberg Lmsw NPPES

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

SAMANTHA L BANNENBERG LMSW (NPI 1992637821) is an individual clinical provider in Kingsford, Michigan, licensed in Michigan (6801121341) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992637821

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA L BANNENBERGCredential: LMSW

Location Address715 PYLE DRKingsford, MI 49802-4456

Mailing Address715 Pyle DrKingsford, MI 49802-4456 · (906) 774-0522

Phone(906) 774-0522

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 3, 2026

NPPES CertifiedJune 3, 2026

✔ NPI 1992637821 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 · 6801121341

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.

715 PYLE DR, Kingsford, MI 49802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3678045366

PECOS Enrollment IDI20260613000123

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Bannenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northpointe Behavioral Healthcare System

Same address

Mental Health (Including Community Mental Health Center)

715 PYLE DR
Kingsford, MI 49802

Reassigned Medicare billing, Michigan enrollment
8 clinicians in this Medicare group

NPI 1205306354 (906) 774-0522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49802 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

JENNIFER CESCOLINI

Registered Nurse (Administrator)