Individual provider · Type 1 NPI

Samantha Sheppard, LCSW, LICSW

Clinical Social Worker · Carbondale, IL

NPI number 1366123713 Active

Practice location

212 S University Ave
Carbondale, IL 62901-2925

Call (203) 200-0788 Map

Other practice locations

1 Liberty Sq Ste 301, New Britain, CT 06051-2637 · (203) 200-0788
900 E Walnut St Ste 6, Carbondale, IL 62901-3132 · (618) 914-7249
300 Church St, Yalesville, CT 06492-2253 · (203) 679-0849

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	ISW04233 (RI)
Clinical Social Worker Primary	1041C0700X	149028454 (IL)
Clinical Social Worker	1041C0700X	13925 (CT)

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…

3 other providers at this address

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About NPI 1366123713

Samantha Sheppard, LCSW, LICSW's National Provider Identifier is 1366123713, issued on Jul 28, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carbondale, IL. The record was last updated on Oct 5, 2026.