Samantha Leann Spellman, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337

Phone

(217) 531-2360

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cunningham Children'S Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1871047209
  NPD (past)
• Cunningham Children'S Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rantoul, IL
  • NPI 1871378976
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1669965042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E CENTRAL AVE BLDG 420",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211050",
            "telephone_number": "217-877-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE B16-18",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-531-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "SAMANTHA",
        "middle_name": "LEANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821055658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta T Spain, MD
• Paige Stephanie Spangler, LPC
• Cherri Dawn Spanglo, CNA
• Kristen C Speagle, LCSW
• Speech Therapy by Abby Seef LLC
• Anna Spencer, LSW
• Lindsey A. Spencer, PA-C
• Gretchen B Sperka, DO
• Lori Lee Spicer
• Skylar Spielman

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.