Individual provider Active NPI

Samantha Lyn Giewartowski, CCC-SLP

  • Speech-Language Pathologist
  • Wilmette, IL
National Provider Identifier
1912689043
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146018138 Issued in IL
Practice address
1123 Greenleaf Ave
Wilmette, IL 60091-2708
Phone
(847) 610-9585
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146018138 IL Primary

Addresses

Primary practice location

1123 Greenleaf Ave
Wilmette, IL 60091-2708

Mailing address

624 Custer Ave Apt 204
Evanston, IL 60202-4140
Phone (909) 702-7367

Other practice location 1

624 Custer Ave Apt 204
Evanston, IL 60202-4140
Phone (909) 702-7367

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
146018138ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC PastSince May 25, 2025 Accepting new patients
Assential Therapies Inc PastSince Aug 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1912689043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CUSTER AVE APT 204",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024140",
            "telephone_number": "909-702-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GREENLEAF AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912708",
            "telephone_number": "847-610-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Custer Ave Apt 204",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602024140",
            "country_code": "US",
            "telephone_number": "909-702-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIEWARTOWSKI",
        "first_name": "SAMANTHA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146018138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

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

Verify at the official NPI Registry.