MEDICARE: SAMARA DREXLER LCSW

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
1	1041C0700X	Clinical Social Worker	149.029326	IL

General Provider Information

NPI Number	:	1467227819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMARA DREXLER LCSW

Provider Business Mailing Address
First Line	:	3633 W LAKE AVE
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-5805
Country	:	US
Telephone Number	:	847-699-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 W LAKE AVE STE 300
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-5803
Country	:	US
Telephone Number	:	847-699-2490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	04/30/2026

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Directions to “ SAMARA DREXLER LCSW” Practice Location

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