Samreen Ahmed

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.105205 Issued in IL

Practice address

7110 W 127TH St
Palos Heights, IL 60463-1571

Phone

(708) 419-3171

NPI assigned

Jul 28, 2021

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1982377628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BLACKSTONE CT",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600465743",
            "telephone_number": "224-795-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631571",
            "telephone_number": "708-419-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SAMREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.105205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Aguilar, BACHELOR'S DEGREE
• Tarek Mohamad Ahdab, MD, FACC
• Mallak Ahmad, DMD
• Sameen Ahmad, M.D.
• Anam Ahmed, M.D.
• Tracy Ann Ahmer, PTA
• Airobics Pulmonary Rehab Inc
• Anwar M Akhras, MD
• Mohammed Al Faiyumi, M.D.
• Maysoon Al-Naqeeb, MD

• Clinical Social Worker in Palos Heights, IL
• Providers in Palos Heights, 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 Nov 14, 2024; 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.