Individual provider Active NPI

Samantha Nicole Lhotak

  • Social Worker
  • Schaumburg, IL
National Provider Identifier
1750079653
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150117399 Issued in IL
Practice address
650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853
Phone
(847) 221-5622
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Social Worker 104100000X 150117399 IL Primary

Addresses

Primary practice location

650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853

Mailing address

1010 N Sterling Ave Apt 206
Palatine, IL 60067-1984
Phone (709) 866-6348

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
150117399ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bza Behavioral Health, LLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

650 E Algonquin Rd
Ste 108
Schaumburg, IL 60173
Phone (847) 221-5622

Organizations & group practices 1

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1750079653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N STERLING AVE APT 206",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671984",
            "telephone_number": "709-866-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-221-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LHOTAK",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150117399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.