Individual provider Active NPI

Samantha Burton, LCSW

  • Clinical Social Worker
  • Pana, IL
National Provider Identifier
1609696194
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
101 E 9TH St
Pana, IL 62557-1785
Phone
(217) 562-2544
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 NU Primary

Addresses

Primary practice location

101 E 9TH St
Pana, IL 62557-1785

Mailing address

101 E 9TH St
Pana, IL 62557-1785
Phone (217) 562-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221001254 IL Practitioner - Clinical Social Worker 0345760203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Nov 23, 2024 Accepting new patients
Pana Community Hospital Association CurrentSince Nov 23, 2024 Accepting new patients
Pana Community Hospital Association Current Accepting new patients

Locations

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1609696194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571785",
            "telephone_number": "217-562-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571785",
            "telephone_number": "217-562-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

Verify at the official NPI Registry.