Active NPI
Samantha Matheny Kleven, LCSW
- Clinical Social Worker
- Westmont, IL
National Provider Identifier
1144599036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14901548
- Practice address
- 724 Oakwood Dr
Westmont, IL 60559-1225 - Phone
- (952) 237-2952
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18587 | MN | |
| Clinical Social Worker | 1041C0700X | 14901548 | IL | Primary |
Addresses
Primary practice location
724 Oakwood Dr
Westmont, IL 60559-1225
Mailing address
724 Oakwood Dr
Westmont, IL 60559-1225
Phone (952) 237-2952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14901548 | IL | MD | Clinical Social Worker |
| 18587 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1144599036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 OAKWOOD DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591225",
"telephone_number": "952-237-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 OAKWOOD DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591225",
"telephone_number": "952-237-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEVEN",
"first_name": "SAMANTHA",
"middle_name": "MATHENY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18587",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "14901548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.