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Samantha Leann Spellman, MSW

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

NPI number1669965042
StatusActive
Last updated in NPPESSep 22, 2020

Details

NPI
1669965042
Entity type
Individual (NPI-1)
Name
Samantha Leann Spellman
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2018
Certification date
Sep 22, 2020
Last updated
Sep 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker–ILYes

Practice location

701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337

Phone 217-531-2360

Mailing address

420 E Central Ave Bldg 420
Decatur, IL 62521-1050

Phone 217-877-9117

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 Social Worker providers in Champaign, IL

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