Kathryn Jane Sampalis, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

703 Emmert Dr
Sycamore, IL 60178-2019

Phone

(630) 947-4271

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, IL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jill M Early LLCGroup PAC ID 1850834482, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jill M Early LLC

  • Clinical Social Worker
  • Sycamore, IL
  • NPI 1790467751
  Medicare reassignment Care Compare group NPD
• QC Wellness Collective, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1942905575
  Medicare reassignment NPD

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1982248167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 EMMERT DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 EMMERT DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782019",
            "telephone_number": "630-947-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601875426",
            "country_code": "US",
            "telephone_number": "630-682-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPALIS",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Ryan
• Catherine Ryan, L.C.P.C.
• Courtney Allene Rzab
• Sageful Counseling & Consulting PLLC
• Manav K Salwan, MD
• Krishunda Renea Sargent, OTR
• Shelley A Sartwell, D.C.
• Charles William Sauer, R.PH.
• Amber Sayles, PA-C
• Leah Scheri, OT

• Clinical Social Worker in Sycamore, IL
• Providers in Sycamore, 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 Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.