Samantha Rouette

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023216 Issued in IL

Practice address

3075 N Augusta Dr
Wadsworth, IL 60083-9283

Phone

(847) 804-6801

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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.

• Empowered Path Psychotherapy for Anxiety and Ocd, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wadsworth, IL
  • NPI 1194491415
  NPD Authorized official
• The Renfrew Center of Illinois

  • Professional Counselor
  • Northbrook, IL
  • NPI 1275058745
  NPD (past)
• The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Northbrook, IL
  • NPI 1811398803
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Samantha Acevedo Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2025.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1952883282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N AUGUSTA DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839283",
            "telephone_number": "847-804-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N AUGUSTA DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839283",
            "telephone_number": "847-804-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUETTE",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023216",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ACEVEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Newport Fire Protection District
• Jennifer Dawn Papadakes
• Anastasia Peterson
• Jensen Plata, BS, ATC
• Restorative Health Center
• Tricia A Schwartz
• Nancy Lee Scott, EDD, NCSP, LCPC
• Colleen Shilling, SLP
• Erin Sloan, M.A., CCC-SLP
• Jennifer Vanko

• All providers in Wadsworth, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.