Active NPI
Samantha Jones, LSW
- Social Worker
- Peoria, IL
National Provider Identifier
1780556290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7820 N University St Ste 101
Peoria, IL 61614-8301 - Phone
- (309) 219-6905
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
7820 N University St Ste 101
Peoria, IL 61614-8301
Mailing address
7980 Ponderosa Rd
Rushville, IL 62681-4220
Other practice location 1
7980 Ponderosa Rd
Rushville, IL 62681-4220
Phone (309) 219-6905
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1780556290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7980 PONDEROSA RD",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626814220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 N UNIVERSITY ST STE 101",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148301",
"telephone_number": "309-219-6905"
}
],
"practiceLocations": [
{
"address_1": "7980 Ponderosa Rd",
"address_purpose": "LOCATION",
"city": "Rushville",
"state": "IL",
"postal_code": "626814220",
"country_code": "US",
"telephone_number": "309-219-6905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SAMANTHA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.