Active NPI
Samantha Fragale, LSW
- Social Worker
- Long Grove, IL
National Provider Identifier
1396429395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4180 Route 83
Suite 10
Long Grove, IL 60047 - Phone
- (847) 821-1450
- NPI assigned
- Jun 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4180 Route 83
Suite 10
Long Grove, IL 60047
Mailing address
4180 Route 83
Suite 10
Long Grove, IL 60047
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1396429395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 ROUTE 83",
"address_2": "SUITE 10",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "60047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 ROUTE 83",
"address_2": "SUITE 10",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-821-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGALE",
"first_name": "SAMANTHA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.