SAMANTHA BUNDY LCSW
NPI 1093218976
Social Worker - Clinical in Chatham, IL

Active since March 16, 2018
101 E PLUMMER BLVD, CHATHAM, IL 62629(217) 483-3487(217) 483-8150 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Bundy Lcsw NPPES

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

SAMANTHA BUNDY LCSW (NPI 1093218976) is an individual clinical provider in Chatham, Illinois, licensed in Illinois (149018490) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1093218976
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA BUNDYCredential: LCSW
Location Address101 E PLUMMER BLVDChatham, IL 62629-8047
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 588-2624 · Fax (217) 757-2021
Fax(217) 483-8150
Sole ProprietorNo
Enumeration DateMarch 16, 2018
NPI 1093218976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149018490
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.
101 E PLUMMER BLVD, Chatham, IL 62629

Other Identifiers 1

Other149018490IL · Lcsw License

Other Providers at the Same Location NPPES 19

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

Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Pharmacy (Community/Retail Pharmacy)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Physical Therapist
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629

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 Bundy's NPI number?

The NPI number for Samantha Bundy is 1093218976. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Samantha Bundy located?

Samantha Bundy practices at 101 E Plummer Blvd, Chatham, IL 62629. The listed phone number is (217) 483-3487.

What is Samantha Bundy'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 Bundy was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.