Individual provider Active NPI

Samantha Joy Dubina

  • Social Worker
  • New Lenox, IL
National Provider Identifier
1710746342
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150105826 Issued in IL
Practice address
400 E Lincoln Hwy Ste 102
New Lenox, IL 60451-1993
Phone
(779) 707-3717
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105826 IL Primary

Addresses

Primary practice location

400 E Lincoln Hwy Ste 102
New Lenox, IL 60451-1993

Mailing address

400 E Lincoln Hwy Ste 102
New Lenox, IL 60451-1993
Phone (779) 707-3717

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150105826ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uniquely You Behavioral Health CurrentSince Mar 24, 2024 Accepting new patients
Uniquely You Behavioral Health PastSince Mar 24, 2024 Accepting new patients

Locations

400 E Lincoln Hwy
Ste 102
New Lenox, IL 60451
Phone (779) 707-1737

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, 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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1710746342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LINCOLN HWY STE 102",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511993",
            "telephone_number": "779-707-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LINCOLN HWY STE 102",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511993",
            "telephone_number": "779-707-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBINA",
        "first_name": "SAMANTHA",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.