Provider Demographics
NPI:1730845710
Name:WESTHOUSE, SAMANTHA JEANNE (LMSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:JEANNE
Last Name:WESTHOUSE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 WINDFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-7358
Mailing Address - Country:US
Mailing Address - Phone:517-612-9853
Mailing Address - Fax:
Practice Address - Street 1:5303 WINDFIELD DR
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-7358
Practice Address - Country:US
Practice Address - Phone:517-612-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511183931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical