Samantha Louise Allen, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Evergreen Park, IL
NPI 1306385398 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1306385398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149019762 (IL)
- Practice address
- 9730 S Western Ave
Evergreen Park, IL 60805 - Phone
- (773) 242-9726
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149019762 | IL | MD | Clinical Social Worker |
| 150015404 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150015404 | IL | |
| Clinical Social Worker | 1041C0700X | 149019762 | IL | Yes |
Addresses
Primary practice location
9730 S Western Ave
Evergreen Park, IL 60805
Mailing address
9730 S Western Ave
Evergreen Park, IL 60805-2814
Phone (773) 242-9726
Other practice location 1
12544 S Lincoln St
Calumet Park, IL 60827-5627
Phone (773) 892-9068
Other providers in Evergreen Park, IL
- Nada Alaraj
- Mary Alberts
- Aditra Allison Albright
- Constantine Alemis
- Alexander Reznikov, DDS, PC
- Abdallah Altarshan
- Alzein Medical LTD
- Hassan Alzein
- Am PM Home Healthcare Services LLC
- Amaris Counseling LLC
All providers in Evergreen Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.