Individual provider Active NPI

Samantha Trapp, MSW, LCSW

  • Social Worker
  • Northbrook, IL
National Provider Identifier
1487101523
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802089085 Issued in MI
Practice address
900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone
(847) 668-4295
Fax
(847) 668-4295
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149021512 IL
Social Worker 104100000X 6802089085 MI Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043

Mailing address

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone (847) 668-4295

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802089085MIMDSocial Worker
149021512ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Family Services, LLC Clinical CurrentSince Apr 26, 2020 Accepting new patients
North Shore Family Services Clinical CurrentSince Dec 28, 2022 Accepting new patients

Locations

900 Skokie Blvd
Ste 218
Northbrook, IL 60062
Phone (847) 668-4295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1487101523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "SAMANTHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021512",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.