Individual provider · Type 1 NPI

Samantha Jo Southard, LLMSW

Social Worker · Grand Rapids, MI

NPI number 1679415137 Active

Practice location

2460 Burton St SE Ste 101
Grand Rapids, MI 49546-4800

Call (616) 309-0737 Map

Mailing address

169 Manzana Ct NW Apt 3D
Grand Rapids, MI 49534-7128

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X6851117866 (MI)

Social Worker: 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.

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About NPI 1679415137

Samantha Jo Southard, LLMSW's National Provider Identifier is 1679415137, issued on Apr 6, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 6, 2026.