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Contact Information

SAMANTHA L ALLEN, MSW, LCSW
9730 S WESTERN AVE
EVERGREEN PARK, IL60805
 Phone: 773-242-9726
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SAMANTHA L ALLEN · (Female)

NPI Number 1306385398
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 02/23/2017
Last updated 07/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149019762
  • IL License # 150015404
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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