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

Samantha L Bannenberg, LMSW

Individual provider Clinical Social Worker · NPI 1992637821

Samantha L Bannenberg, LMSW is a Clinical Social Worker in Kingsford, Michigan. Qualified in 2018, 8 years ago. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2026
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

715 Pyle Dr
Kingsford, MI 49802-4456
Phone: (906) 774-0522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801121341 (MI)

Record details

NPI number1992637821
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address715 Pyle Dr, Kingsford, MI 49802-4456

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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