Individual provider Active NPI

Samantha Michelle Barry, LCSW

  • Social Worker
  • Warrenville, IL
National Provider Identifier
1871220293
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149029268 Issued in IL
Practice address
4300 Weaver Pkwy
Warrenville, IL 60555-3919
Phone
(630) 416-8289
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 149029268 IL Primary

Addresses

Primary practice location

4300 Weaver Pkwy
Warrenville, IL 60555-3919

Mailing address

210 W Bailey Rd
Naperville, IL 60565-4125
Phone (630) 853-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527003402 IL Practitioner - Clinical Social Worker 0648799213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conventions Psychiatry and Counseling PCGroup PAC ID 0143113027, 17 clinicians

Practice addresses (Care Compare)

4300 Weaver Pkwy
Suite 100 a
Naperville, IL 60563-1262
Phone (630) 416-8289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149029268ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conventions Psychiatry & Counseling, P.C. CurrentSince May 1, 2025 Accepting new patients

Locations

8540 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 594-5440

4300 Weaver Pkwy
Ste 100A
Warrenville, IL 60555
Phone (630) 624-7098

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1871220293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W BAILEY RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654125",
            "telephone_number": "630-853-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEAVER PKWY",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553919",
            "telephone_number": "630-416-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149029268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.