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SAMANTHA NICOLE DEDIC
NPI 1639727340
Social Worker - Clinical in St Charles, IL

Active since August 27, 2019
189 BIRCH LN, ST CHARLES, IL 60175(630) 358-9375 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Aug 27, 2019 (2 updates tracked since 2019).

About Samantha Nicole Dedic NPPES

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

SAMANTHA NICOLE DEDIC (NPI 1639727340) is an individual clinical provider in St Charles, Illinois, licensed in Illinois (149.021402) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1639727340
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA NICOLE DEDIC
Location Address189 BIRCH LNSt Charles, IL 60175-1012
Mailing Address189 Birch LnSt Charles, IL 60175-1012
Phone(630) 358-9375
Sole ProprietorYes
Enumeration DateAugust 27, 2019
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1639727340 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 · 149.021402
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.
189 BIRCH LN, St Charles, IL 60175
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Other Providers at the Same Location NPPES

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

DEDICATED TO GROWTH THERAPY, PLLC
Social Worker (Clinical)
189 BIRCH LN
ST CHARLES, IL 60175
Kane County (630) 253-8514

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 Dedic's NPI number?

The NPI number for Samantha Dedic is 1639727340. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Samantha Dedic located?

Samantha Dedic practices at 189 Birch Ln, St Charles, IL 60175. The listed phone number is (630) 358-9375.

What is Samantha Dedic'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 Dedic was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.