SAMANTHA A. MALL LLMSW – NPI #1396337275
Specialist/Technologist, Other

SAMANTHA MALL is a technologist located in SOUTHGATE, MI. NPPES has assigned the NPI number 1396337275 to SAMANTHA MALL on February 11, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZI1000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Illustration, Medical

The NPI profile was previously updated about 3 years ago on Feb 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMANTHA MALL below.

NPI Profile for
SAMANTHA A. MALL

NPI Number
1396337275
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SAMANTHA A. MALL
Credentials
LLMSW
Primary location
19401 NORTHLINE RD
SOUTHGATE, MI 48195-2277
Phone: (734) 785-7700 Fax:
Mailing address
3751 NORTH DIXIE HIGHWAY MONROE
MONORE, MI 48162
Phone: (574) 226-5895 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZI1000X
- Specialist/Technologist, Other / Illustration, Medical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.