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NPI Code Detail

MEDICARE: SAMANTHA CHEN LSW

MEDICARE: SAMANTHA CHEN LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150.119192IL

General Provider Information

NPI Number : 1326999277
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CHEN LSW
Provider Business Mailing Address
First Line : 5217 N MAGNOLIA AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5547 N RAVENSWOOD AVE STE 303
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1125
Country : US
Telephone Number : 773-820-9321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ SAMANTHA CHEN LSW” Practice Location

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