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SAMANTHA KRISTINE TRAUM MSW, LCSW
NPI 1316799505
Social Worker - Clinical in Davis Junction, IL

Active since April 02, 2024PECOS Enrolled
306 WOLF DEN CIR, DAVIS JUNCTION, IL 61020(815) 217-6607 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Kristine Traum Msw, Lcsw NPPES

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

SAMANTHA KRISTINE TRAUM MSW, LCSW (NPI 1316799505) is an individual clinical provider in Davis Junction, Illinois, licensed in (149.026267) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316799505
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA KRISTINE TRAUMCredential: MSW, LCSW
Location Address306 WOLF DEN CIRDavis Junction, IL 61020-9428
Mailing Address306 Wolf Den CirDavis Junction, IL 61020-9428 · (815) 217-6607
Phone(815) 217-6607
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2024
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1316799505 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 · 149.026267
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.
306 WOLF DEN CIR, Davis Junction, IL 61020
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Kristine Traum Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224570791
PECOS Enrollment IDI20240612000995
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Traum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Pathways, PLLC
Same address
Clinical
306 WOLF DEN CIRCLE
Davis Junction, IL 61020
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1770457558 (815) 997-6654
Blue Moon Senior Counseling Of Illinois LLC
52 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1841562931 (855) 241-7160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Traum's NPI number?

The NPI number for Samantha Traum is 1316799505. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Samantha Traum located?

Samantha Traum practices at 306 Wolf Den Cir, Davis Junction, IL 61020. The listed phone number is (815) 217-6607.

What is Samantha Traum's specialty?

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

Is Samantha Traum enrolled in Medicare?

Yes. Samantha Traum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Traum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Traum reassigns Medicare benefits to 2 organizations: Beacon Pathways, PLLC (Davis Junction, IL) and Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Traum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Traum was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.