Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548832942 Individual Practitioner Female Practitioner

Samantha Koder

Social Worker • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Samantha Koder is a registered healthcare professional specializing in Social Worker in Dekalb, IL. Practice services are available at 12 HEALTH SERVICES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Health Services Dr

Dekalb, IL 601159637

Telephone 8157564875
Associated Practice Facility / Clinic
🏢 Ben Gordon Center Facility NPI 1922277631

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
63 Specialists

Practicing in Dekalb, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150.107957

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
474579189001 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Weber , LSW, CADC

Social Worker - Clinical

NPI 1003189051

Licensed Social Worker, Certified Alcohol and Drug Counselor

Christi Johnson , BS, MHP

Counselor - Mental Health

NPI 1003285370

Bachelor of Science, Mental Health Practitioner

NPI 1003368739

Master of Science in Education, Licensed Clinical Professional Counselor, National Certified Counselor

NPI 1003395088

Licensed Social Worker

Jasmine Young

Counselor - Mental Health

NPI 1013445832
Cassie Dodd

Counselor - Mental Health

NPI 1013766377

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2022

Social Worker (License #150.107957 in IL)

NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2021

Registered at 12 HEALTH SERVICES DR, DEKALB, IL 601159637 (Tel: 8157564875)

📍
Updated Business Mailing Address July 14, 2021

Registered at PO BOX 1109, DEKALB, IL 601157109

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as SAMANTHA KODER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Counselor

🟢
Initial NPI Registration & Enumeration July 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548832942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: June 01, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 1109

Dekalb, IL 601157109

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.