Provider Demographics
NPI:1316628761
Name:LENDZION, SAMANTHA SOPHIA (LLMSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SOPHIA
Last Name:LENDZION
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2614
Mailing Address - Country:US
Mailing Address - Phone:248-858-1210
Mailing Address - Fax:
Practice Address - Street 1:5505 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2614
Practice Address - Country:US
Practice Address - Phone:248-858-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical