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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA SHEPPARD LCSW, LICSW
NPI 1366123713
Social Worker - Clinical in Carbondale, IL

Active since July 28, 2023
212 S UNIVERSITY AVE, CARBONDALE, IL 62901(203) 200-0788 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Jul 28, 2023 (2 updates tracked since 2023).

About Samantha Sheppard Lcsw, Licsw NPPES

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

SAMANTHA SHEPPARD LCSW, LICSW (NPI 1366123713) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (149028454) and active in the NPI registry since July 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366123713
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA SHEPPARDCredential: LCSW, LICSW
Location Address212 S UNIVERSITY AVECarbondale, IL 62901-2925
Mailing Address212 S University AveCarbondale, IL 62901-2925 · (860) 506-5390
Phone(203) 200-0788
Sole ProprietorNo
Enumeration DateJuly 28, 2023
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1366123713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149028454✔ Licensed in RI · ISW04233✔ Licensed in CT · 13925
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.
212 S UNIVERSITY AVE, Carbondale, IL 62901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Liberty Sq Ste 301New Britain, CT 06051-2637 · Phone (203) 200-0788
Location 2300 Church StYalesville, CT 06492-2253 · Phone (203) 679-0849
Location 3900 E Walnut St Ste 6Carbondale, IL 62901-3132 · Phone (618) 914-7249

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

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

E CLAIRE WELLNESS
Massage Therapist
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (618) 713-1249
MRS. DOMINEAK SHANTA MILLER DOULA
Doula
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (773) 655-8103
CANDACE AKINTOLA CD
Doula
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (618) 534-3345

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 Sheppard's NPI number?

The NPI number for Samantha Sheppard is 1366123713. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Samantha Sheppard located?

Samantha Sheppard practices at 212 S University Ave, Carbondale, IL 62901. The listed phone number is (203) 200-0788.

What is Samantha Sheppard's specialty?

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

What insurance does Samantha Sheppard accept?

Health plans from Anthem Blue Cross and Blue Shield list Samantha Sheppard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Sheppard was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.