Samantha Louise Allen, MSW, LCSW
Social Worker, Clinical in Evergreen Park, IL. Individual provider (NPI-1).
NPI number1306385398
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1306385398
- Entity type
- Individual (NPI-1)
- Name
- Samantha Louise Allen
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2017
- Last updated
- Jul 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149019762 | IL | Yes |
| 1041C0700X | Social Worker, Clinical | 150015404 | IL |
Practice location
9730 S Western AveEvergreen Park, IL 60805
Phone 773-242-9726
Mailing address
9730 S Western AveEvergreen Park, IL 60805-2814
Phone 773-242-9726
Other practice locations
12544 S Lincoln St
Calumet Park, IL 60827-5627
Calumet Park, IL 60827-5627
Phone 773-892-9068
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