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

Samkhann Mak, MSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750307815

Samkhann Mak, MSW is a Clinical Social Worker in Monona, Wisconsin. Qualified in 1992, 34 years ago. Practices with Trivium LLC, a 12-clinician group and offers telehealth. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

300 Femrite Dr
Monona, WI 53716-3716
Phone: (608) 755-5260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 3049 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1928 (WI)
Counselor Taxonomy 101Y00000X · Licence 3049 (WI)

Record details

NPI number1750307815
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address300 Femrite Dr, Monona, WI 53716-3716

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Trivium Llc — 12 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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