Individual provider Active NPI

Samantha Leigh Karrel, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1962946541
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027034 Issued in IL
Practice address
4753 N Broadway St Ste 403
Chicago, IL 60640-7910
Phone
(739) 892-7807
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149027034 IL Primary
Social Worker 104100000X 0007319 IA
Clinical Social Worker 1041C0700X 0007319 IA

Addresses

Primary practice location

4753 N Broadway St Ste 403
Chicago, IL 60640-7910

Mailing address

4753 N Broadway St Ste 403
Chicago, IL 60640-7910
Phone (773) 989-2780

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
I20241014003945 IL Practitioner - Clinical Social Worker 5698105492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care Therapy Services of Illinois PCGroup PAC ID 2163944190, 20 clinicians

Practice addresses (Care Compare)

4753 N Broadway St
Suite 403
Chicago, IL 60640-7910
Phone (779) 368-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007319IAMDClinical Social Worker
149027034ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Mar 30, 2020 Accepting new patients
Optum Behavioral Care Therapy Services of Illinois PC Clinical CurrentSince Mar 15, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Optum Behavioral Care Therapy Services of Illinois PC Clinical CurrentSince Mar 15, 2025 Accepting new patients
KP Counseling LTD Clinical CurrentSince Aug 1, 2024 Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Mar 30, 2020 Accepting new patients

Locations

615 5th St SE
Cedar Rapids, IA 52401

5400 Kirkwood Blvd SW
Cedar Rapids, IA 52404
Phone (319) 364-0259

520 11th St NW
Cedar Rapids, IA 52405
Phone (319) 297-3228

740 N 15th Ave
Ste A
Hiawatha, IA 52233

1039 Arthur St
Iowa City, IA 52240
Phone (319) 338-7884

4753 N Broadway St
Ste 403
Chicago, IL 60640
Phone (773) 989-2780

12151 Regency Pkwy
Ste 12189
Huntley, IL 60142
Phone (779) 368-0660

Interoperability endpoints

  • Direct secure messaging: skarrel1021375@direct.unitypoint.org
  • Direct secure messaging: samantha.karrel.1@28621.direct.athenahealth.com

Organizations & group practices 6

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1962946541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407910",
            "telephone_number": "773-989-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407910",
            "telephone_number": "739-892-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARREL",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027034",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "0007319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "0007319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.