Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Samuelson, LCSW

Individual provider Clinical Social Worker · NPI 1922586502

Christian Samuelson, LCSW is a Clinical Social Worker in Detroit, Michigan. Works from 2 locations. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

79 W Alexandrine St
Detroit, MI 48201
Phone: (313) 831-5535
Fax: (313) 831-2608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 — (317) 621-7740

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34009442A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801103121 (MI)

Record details

NPI number1922586502
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 5, 2018
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

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