Provider Demographics
NPI:1841317773
Name:SCHALK, SAMANTHA ANNE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ANNE
Last Name:SCHALK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4771 2 MILE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2775
Mailing Address - Country:US
Mailing Address - Phone:989-778-2323
Mailing Address - Fax:989-778-2322
Practice Address - Street 1:4771 2 MILE RD
Practice Address - Street 2:SUITE A
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2775
Practice Address - Country:US
Practice Address - Phone:989-778-2323
Practice Address - Fax:989-778-2322
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010874931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical