Samantha Furtek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026517 Issued in IL

Practice address

201 Park PL Ste 11
Bourbonnais, IL 60914-1883

Phone

(779) 529-0522

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Samantha Knobbe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1124681101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK PL STE 11",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK PL STE 11",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141883",
            "telephone_number": "779-529-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 W Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701568",
            "country_code": "US",
            "telephone_number": "815-432-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURTEK",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KNOBBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Rim Franklin, M.D.
• Zachary T. Frazier, D.D.S.
• Frederick P Waldschmidt D D S P C
• Brittany Fry
• Dennis Fung, PT
• Andrea Gall
• Alyssa Garcia
• Ericka Jeannette Garcia, OD
• Maria L Garcia, M.D.
• Michelle Garcia

• Clinical Social Worker in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.