Individual provider · Type 1 NPI

Samantha Bundy, LCSW

Clinical Social Worker · Chatham, IL

NPI number 1093218976 Active

Practice location

101 E Plummer Blvd
Chatham, IL 62629-8047

Call (217) 483-3487 Map

Fax (217) 483-8150

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149018490 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1093218976

Samantha Bundy, LCSW's National Provider Identifier is 1093218976, issued on Mar 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chatham, IL. The record was last updated on Mar 16, 2018.