SAMANTHA CATHERINE BRADY (NPI# 1861900649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861900649 |
| Entity Type | Individual |
| Full Name | SAMANTHA CATHERINE BRADY |
| Credential | LCSW |
| Practice Address |
270 Remington Blvd Ste D Bolingbrook IL 60440-3593 |
| Practice Telephone | 6307544522 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.018093 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555444 | Samantha Brady | Nurse Practitioner | 2123 Auburn Ave Ste 404, Cincinnati, OH 45219-2906 | 2020-07-15 |
| 1346705936 | Samantha L Brady | Physical Therapist | 2217 Dillon Rd, Clovis, NM 88101-9454 | 2019-02-07 |
| Street Address |
270 REMINGTON BLVD STE D |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757830 | Nila Pate | Social Worker | 279 Sioux Dr, Bolingbrook, IL 60440-1889 | 2018-10-27 |
| 1740781889 | Lisa Ann Valiente | Social Worker | 237 Picardy Ln, Bolingbrook, IL 60440-4531 | 2018-02-23 |
| 1841700036 | Tara Smith | Social Worker | 684 W Boughton Rd Ste D, Bolingbrook, IL 60440-1781 | 2017-10-03 |
| 1871012757 | Deborah Brunick | Social Worker | 440 W Boughton Rd Ste 104, Bolingbrook, IL 60440-1400 | 2017-09-12 |
| 1447784509 | Gigi Simmons | Social Worker | 610 N Pinecrest Rd, Bolingbrook, IL 60440-1220 | 2017-04-16 |
| 1831580208 | Latrina Smith | Social Worker | 605 Piccadilly Ln, Bolingbrook, IL 60440-1021 | 2015-02-06 |
| 1508260175 | Olimene Counseling Services, Inc. | Social Worker | 440 W Boughton Rd Ste B, Bolingbrook, IL 60440-2394 | 2014-10-10 |
| 1124469002 | Laquida Denise Jones | Social Worker | 539 Pontiac Ln, Bolingbrook, IL 60440-1725 | 2013-07-08 |
| 1750664280 | Michelle Lee Cunningham | Social Worker | 1063 Ridgewood Dr, Bolingbrook, IL 60440-1658 | 2011-09-21 |
| 1225216757 | Anna J Carter | Social Worker | 326 Northridge Ave, Bolingbrook, IL 60440-2447 | 2008-02-06 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.