Individual provider Active NPI

Samantha Hilmers, MSW, LCSW

  • Clinical Social Worker
  • Benton, IL
National Provider Identifier
1467125252
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023521 Issued in IL
Practice address
511 W 6TH St
Benton, IL 62812-1248
Phone
(618) 925-5870
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023521 IL Primary

Addresses

Primary practice location

511 W 6TH St
Benton, IL 62812-1248

Mailing address

511 W 6TH St
Benton, IL 62812-1248
Phone (618) 925-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023521ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1467125252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 6TH ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121248",
            "telephone_number": "618-925-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 6TH ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121248",
            "telephone_number": "618-925-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILMERS",
        "first_name": "SAMANTHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, IL

Sources for this page

Verify at the official NPI Registry.