Samantha Sheppard, LCSW, LICSW

Social Worker, Clinical in Carbondale, IL. Individual provider (NPI-1).

NPI number1366123713

StatusActive

Last updated in NPPESOct 5, 2026

Details

NPI: 1366123713
Entity type: Individual (NPI-1)
Name: Samantha Sheppard
Credential: LCSW, LICSW
Sex: Female
Sole proprietor: No
Enumeration date: Jul 28, 2023
Certification date: Oct 5, 2026
Last updated: Oct 5, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	149028454	IL	Yes
1041C0700X	Social Worker, Clinical	ISW04233	RI
1041C0700X	Social Worker, Clinical	13925	CT

Practice location

212 S University Ave
Carbondale, IL 62901-2925

Phone 203-200-0788

Mailing address

212 S University Ave
Carbondale, IL 62901-2925

Phone 860-506-5390

Other practice locations

1 Liberty Sq Ste 301
New Britain, CT 06051-2637

Phone 203-200-0788

300 Church St
Yalesville, CT 06492-2253

Phone 203-679-0849

900 E Walnut St Ste 6
Carbondale, IL 62901-3132

Phone 618-914-7249

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Carbondale, IL

All 50 Clinical Social Worker providers in Carbondale · All 1,335 providers in Carbondale

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check