Provider Demographics
NPI:1215288501
Name:MORRISON CLEAVER, SAMANTHA SUSAN (MSW,LMSW)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:SUSAN
Last Name:MORRISON CLEAVER
Suffix:
Gender:F
Credentials:MSW,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28225 COUZENS AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2946
Mailing Address - Country:US
Mailing Address - Phone:989-698-6011
Mailing Address - Fax:
Practice Address - Street 1:36400 WOODWARD AVE STE 222
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-0913
Practice Address - Country:US
Practice Address - Phone:248-629-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011188961041C0700X
MI6802086979104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker