| Samantha Rios Lmsw Llc | |
|
2929 Covington Ct Lansing MI 48912-4941 | |
| (517) 599-3131 | |
| Not Available |
| Full Name | Samantha Rios Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2929 Covington Ct, Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rios Lmsw Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Samantha Rios Lmsw Llc 2929 Covington Ct Lansing MI 48912-4941 Ph: (517) 599-3131 |
| NPI Number | 1669169728 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 3971968017 |
|---|---|
| Medicare Enrollment ID | O20230425002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669169728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Samantha Rios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285290320 PECOS PAC ID: 5698166734 Enrollment ID: I20211227000874 |
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