1. Home
  2. Directory
  3. Illinois
  4. Benton
  5. Social Worker
  6. NPI Profile

SAMANTHA ANN KIMBLE LCSW
NPI 1083230098
Social Worker - Clinical in Benton, IL

Active since June 25, 2020
205 BAILEY LN STE 3W, BENTON, IL 62812(618) 218-4544 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Feb 7, 2022, Jun 25, 2020 (3 updates tracked since 2020).

About Samantha Ann Kimble Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANN KIMBLE LCSW (NPI 1083230098) is an individual clinical provider in Benton, Illinois, licensed in Illinois (149.024233) and active in the NPI registry since June 2020. She maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1083230098
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA ANN KIMBLECredential: LCSW
Location Address205 BAILEY LN STE 3WBenton, IL 62812-1921
Mailing Address205 Bailey Ln Ste 3wBenton, IL 62812-1921 · (618) 218-4544
Phone(618) 218-4544
Sole ProprietorNo
Enumeration DateJune 25, 2020
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1083230098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.024233
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150104375 (IL)
205 BAILEY LN STE 3W, Benton, IL 62812
Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 W Main StMarion, IL 62959-1188 · Phone (618) 218-4544

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ILLINOIS THERAPY SERVICES, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
205 BAILEY LN STE 3W
BENTON, IL 62812
Franklin County (618) 218-4544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Kimble's NPI number?

The NPI number for Samantha Kimble is 1083230098. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Samantha Kimble located?

Samantha Kimble practices at 205 Bailey Ln Ste 3W, Benton, IL 62812. The listed phone number is (618) 218-4544.

What is Samantha Kimble's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Samantha Kimble was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.