MEDICARE: SAMANTHA JONES 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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1780556290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA JONES LSW

Provider Business Mailing Address
First Line	:	7980 PONDEROSA RD
Second Line	:
City	:	RUSHVILLE
State	:	IL
Zip	:	62681-4220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7820 N UNIVERSITY ST STE 101
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-8301
Country	:	US
Telephone Number	:	309-219-6905
Fax Number	:

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

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

Similar Medicare Providers

1790238624 — KYLE FOSKETT PSY.D.
Practice Location Address:

7820 N UNIVERSITY ST STE 104
PEORIA, IL
61614-8301

Practice Phone: 309-233-3410
Practice Fax: 309-326-4446

1073477402 — PEACE OF MIND COUNSELING AND ASSESSMENT, PLLC
Practice Location Address:

7820 N UNIVERSITY ST STE 104
PEORIA, IL
61614-8301

Practice Phone: 309-231-6951
Practice Fax:

1508272329 — MS. CHRISTINE SCHILZ LCPC
Practice Location Address:

7820 N. UNIVERSITY, SUITE 101 , ABC COUNSELING AND FAMILY SERVICE
PEORIA, IL
61614-8301

Practice Phone: 309-689-2990
Practice Fax:

1346000361 — DESIRED MEDICAL SERVICES 2 LLC
Practice Location Address:

7820 N UNIVERSITY ST STE 110
PEORIA, IL
61614-8301

Practice Phone: 708-394-3296
Practice Fax:

1598637084 — NICHOLAS LEE MSW
Practice Location Address:

7820 N UNIVERSITY ST STE 101
PEORIA, IL
61614-8301

Practice Phone: 309-981-9532
Practice Fax:

1679447007 — MOLLY MARY GOODMAN BSW, MSW, SSW
Practice Location Address:

7820 N UNIVERSITY ST STE 101
PEORIA, IL
61614-8301

Practice Phone: 309-253-2471
Practice Fax:

Directions to “ SAMANTHA JONES LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.