| Ms Samantha Marie Grooms, LCSW | |
|
450 Saint John Rd Ste 501, Michigan City, IN 46360-7349 | |
| (219) 879-0676 | |
| (219) 873-9868 |
| Full Name | Ms Samantha Marie Grooms |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 450 Saint John Rd Ste 501, Michigan City, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611354 | NPI | - | NPPES |
| 100163580 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34006419A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laporte County Comprehensive Mental Health Council | 3274703046 | 16 |
| Entity Name | Laporte County Comprehensive Mental Health Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295746816 PECOS PAC ID: 3274703046 Enrollment ID: O20110906000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Samantha Marie Grooms, LCSW 450 Saint John Rd Ste 501, Michigan City, IN 46360-7349 Ph: (219) 879-0676 | Ms Samantha Marie Grooms, LCSW 450 Saint John Rd Ste 501, Michigan City, IN 46360-7349 Ph: (219) 879-0676 |
Melissa Ann Morse, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Wabash, Michigan City, IN 46360 Phone: 219-362-2145 | |
Mr. Chad A Booth, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Michigan City, IN 46360 Phone: 219-872-8666 | |
Mrs. Imojeanne Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Suite 501, Michigan City, IN 46360 Phone: 219-362-2145 | |
Michelle Bazin-johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 Woodland Ct Ste B, Michigan City, IN 46360 Phone: 219-336-4866 | |
William Edward Short, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 710 Franklin St Ste 200, Michigan City, IN 46360 Phone: 219-872-6200 | |
Christine Cuddeback, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 | |
Nicole Hufford, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 |