SAMANTHA LYNN CRUMB (LMSW) – Clinical Social Worker, NPI 1194383794

SAMANTHA LYNN CRUMB (LMSW) is a healthcare provider. based in Saint joseph, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801104620 (MI). The NPI Number for SAMANTHA LYNN CRUMB (LMSW) is 1194383794

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LYNN CRUMB (LMSW)
NPI
1194383794
Phone
Not provided
Address
1030 MINERS RD
Enumeration Date
30 May 2019
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697165081
Graduation Year
2019 (7 years ago)
PAC ID
0648649467
Group Practice PAC ID
6800863788
Professional Enrollment ID
I20221216001449
Address ID
MI490792008PA801XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for SAMANTHA LYNN CRUMB (LMSW)

  • 1030 MINERS RD

    SAINT JOSEPH, MI 490859625

    Phone:

    Type: Mailing

  • 69201 66TH AVE

    WATERVLIET, MI 490989412

    Phone:

    Type: Mailing

  • 801 HAZEN ST

    PAW PAW, MI 490792008

    Phone: (269) 657-5574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221216001449IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800863788View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I cross-check SAMANTHA LYNN CRUMB (LMSW) using NPI 1194383794?
NPI 1194383794 belongs to SAMANTHA LYNN CRUMB (LMSW); compare other details if you need extra assurance.
Is there an active status for SAMANTHA LYNN CRUMB (LMSW)?
For scheduling context, SAMANTHA LYNN CRUMB (LMSW) is shown as active in the registry.
What clinical focus is listed for SAMANTHA LYNN CRUMB (LMSW)?
At a glance, SAMANTHA LYNN CRUMB (LMSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is SAMANTHA LYNN CRUMB (LMSW) located near Saint Joseph?
SAMANTHA LYNN CRUMB (LMSW) currently maps to Saint Joseph, Michigan in this extract.
When was this NPI issued?
Enumeration for SAMANTHA LYNN CRUMB (LMSW) is noted as May 30, 2019 where the registry provides it.

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