Samantha Catherine Brady, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018093 Issued in IL

Practice address

270 Remington Blvd Ste D
Bolingbrook, IL 60440-3593

Phone

(630) 754-4522

NPI assigned

Jan 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1861900649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 REMINGTON BLVD STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 REMINGTON BLVD STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403593",
            "telephone_number": "630-754-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SAMANTHA",
        "middle_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Boyer
• Cecelia Bozeman, LCSW
• Joshua A Bracken
• Douglas Bradley, PT, CSCS
• Brady, P.C.
• Janet Brancato
• Matt Branchaw
• Emilie Brazinski, LPC
• Bridgewell LLC
• Brightlife Regenerative Medical Clinic of Bolingbrook

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, 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 Jan 16, 2018; 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.