MS. SAMANTHA PEDRI – Social Worker, NPI 1578926085

MS. SAMANTHA PEDRI is a healthcare provider. based in Columbus, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801100193 (MI). The NPI Number for MS. SAMANTHA PEDRI is 1578926085

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. SAMANTHA PEDRI
NPI
1578926085
Phone
(586) 242-7883
Address
1898 WITHEY RD
Enumeration Date
1 April 2016
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484707359
Graduation Year
2016 (10 years ago)
PAC ID
0345609954
Group Practice PAC ID
3476922006
Professional Enrollment ID
I20230629002420
Address ID
MI483462377CL5980XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MS. SAMANTHA PEDRI

  • 1898 WITHEY RD

    COLUMBUS, MI 480633008

    Phone: (586) 242-7883

    Mailing address matches the actual address.

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: 2023-06-29

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
I20230629002420IClinical 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 48063)

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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: 3476922006View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How is MS. SAMANTHA PEDRI identified in CMS data?
CMS-hosted NPPES data lists MS. SAMANTHA PEDRI with NPI 1578926085.
Does CMS list MS. SAMANTHA PEDRI as active?
Yes — MS. SAMANTHA PEDRI is active in the NPI listing used on this page.
What taxonomy line describes MS. SAMANTHA PEDRI?
For research purposes, treat MS. SAMANTHA PEDRI as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does MS. SAMANTHA PEDRI list a practice location?
Patients near Columbus, Michigan may find MS. SAMANTHA PEDRI in results; validate coverage separately.
Why does MS. SAMANTHA PEDRI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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