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

Individual provider Clinical Social Worker · NPI 1447768056

Samone L. Derks, LMSW is a Clinical Social Worker in Marquette, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
12
Licensed in
MI, WA
In the registry since
2018
Specialties on file
2
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

129 W Baraga Ave Ste F
Marquette, MI 49855-4761
Phone: (906) 361-1386
Fax: (906) 273-1650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801102088 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60781970 (WA)

Record details

NPI number1447768056
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJanuary 17, 2018
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address129 W Baraga Ave Ste F, Marquette, MI 49855-4761

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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