MR. ALEXANDER TYTUS SAMUL


Address: 1007 Military St, Port Huron, MI 48060
Phone: 8109662577

MR. ALEXANDER TYTUS SAMUL (NPI# 1619078987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619078987
Entity Type Individual
Full Name MR. ALEXANDER TYTUS SAMUL
Credential LMSW
Practice Address 1007 Military St
Port Huron
MI 48060
Mailing Address 28804 31 Mile Rd
Lenox
MI 48050
Practice Telephone 8109662577
Practice Fax Number 8109872336
Mailing Telephone 5867273281
Enumeration Date 2006-09-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 6801071545 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1007 MILITARY ST
City PORT HURON
State MI
Zip Code 48060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518977305 Christine M Corby Registered Nurse 1007 Military St, Port Huron, MI 48060-5416 2006-08-08
1225109945 Susan Lynn Bolton Adult Companion 1007 Military St, Port Huron, MI 48060-5416 2006-11-13
1265512388 Joan Davidson Adult Companion 1007 Military St, Port Huron, MI 48060-5416 2006-10-16
1942301221 Joan Wartian Social Worker 1007 Military St, Port Huron, MI 48060-5416 2006-09-26
1215036017 Renna Joy Flaig Specialist 1007 Military St, Port Huron, MI 48060-5416 2006-09-21
1689772444 Nancy Maxwell Social Worker 1007 Military St, Port Huron, MI 48060-5416 2006-09-20
1750485272 Telesha Temple Social Worker 1007 Military St, Port Huron, MI 48060-5416 2006-09-13
1285736132 Tracy Duncan Counselor 1007 Military St, Port Huron, MI 48060-5416 2006-09-02
1578674230 Melany Louella Reckker Social Worker 1007 Military St, Port Huron, MI 48060-5416 2006-08-31
1467560342 Peter Edward Lesinski Adult Companion 1007 Military St, Port Huron, MI 48060-5416 2006-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740897297 Casey Edward Bicker Behavior Technician 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 2020-09-29
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
1982123006 Kenneth Shine Heuvelman Counselor 3522 Holland Park Ln, Port Huron, MI 48060 2017-09-11
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1326418609 Jean Burleigh Chore Provider 614 Staton, Port Huron, MI 48060 2015-09-30
1205242161 Lisa Gray Counselor 2885 W Rick Dr, Port Huron, MI 48060 2014-07-10
1861758880 Aaron Overly Surgery 2609 Electric Ave Ste B&, Port Huron, MI 48060 2012-04-03
1942591508 S Akram Ali Surgery 3270 Waldheim Dr, Port Huron, MI 48060 2011-04-29
1417258179 Nicholas Alexander Tobianski Physician Assistant 3550 Pine Grove Avenue, Port Huron, MI 48060 2010-11-11
1598092769 Blue Water Pharmacy LLC Pharmacy 1524 10th Street, Port Huron, MI 48060 2009-11-10
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902430291 Marissa Holloman Social Worker 222 Huron Ave, Port Huron, MI 48060-3822 2020-02-26
1144734955 Jessica Miller Social Worker 1325 19th St, Port Huron, MI 48060-5501 2017-12-01
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1891240925 Megan Hillman Social Worker 115 Rural St, Port Huron, MI 48060-4124 2016-08-18
1952700064 Tiffany L Schultz Social Worker 2013 11th St, Port Huron, MI 48060-6226 2014-08-14
1275835787 Valorie Elizabeth Hudgens Social Worker 1042 Griswold St, Suite 2, Port Huron, MI 48060-5867 2010-12-03
1790874410 Thomas Sudia Social Worker 3111 Electric Ave Ste A, Port Huron, MI 48060-8127 2006-10-12
1750472585 Pamela Lynn Johnson Social Worker 230 Military St., Port Huron, MI 48060 2006-09-27
1821104175 Stacey Ann Redfield Social Worker 821 7th St, Port Huron, MI 48060-5324 2006-08-21
1841304995 Melissa Lynn Way Social Worker 2875 Henry St., Port Huron, MI 48060 2006-08-18
Find all providers in PORT HURON

Competitor

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City PORT HURON
Zip Code 48060

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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