Samantha Derdowski, LLMSW, DP-C is a
Social Worker - Clinical based in Bay City, Michigan. Samantha Derdowski is licensed to practice in Michigan (license number 6851116133) and her current practice location is
1009 Washington Ave, Bay City, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 928-3566.
NPI number for Samantha Derdowski is 1750929063 and her current mailing address is 5925 Weiss St Apt D09, Saginaw, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750929063.
Healthcare Provider's Profile
Full Name | Samantha Derdowski |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1009 Washington Ave, Bay City, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750929063
- Provider Enumeration Date: 12/17/2019
- Last Update Date: 07/05/2023
Medical Identifiers
Medical identifiers for Samantha Derdowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750929063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6851116133 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Derdowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Derdowski, LLMSW, DP-C 5925 Weiss St Apt D09, Saginaw, MI 48603-2783 Ph: (989) 293-7656 | Samantha Derdowski, LLMSW, DP-C 1009 Washington Ave, Bay City, MI 48708-5705 Ph: (989) 928-3566 |
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