Samuel Shabsin, LSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150108306 Issued in IL

Practice address

2000 N Racine Ave Ste 3300
Chicago, IL 60614-7008

Phone

(312) 439-2338

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• SLS Counseling LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1821955469
  NPD Authorized official
• Abbie Kelley, LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386048825
  NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1619600665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 N LINCOLN PARK W APT 8D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144621",
            "telephone_number": "314-520-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE STE 3300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147008",
            "telephone_number": "312-439-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABSIN",
        "first_name": "SAMUEL",
        "credential": "LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150108306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliaksandr Shabanovich
• Yedidya Shabat, LCPC, CADC
• Zaheera Shabbir, PHARMD
• Alana Shabez
• Ruta M Shabez, APRN, CRNA
• Shachat Dental Group PLLC
• Matthew Shachat, DMD
• Sarah O'Hare Shackleton, PT
• Shaddai Dental Care
• Jennifer Shadden, O.T

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.