NPI
Samantha Sheppard
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- LCSW, LICSW
- Type
- Individual
- Enumeration date
- 2023-07-28
- Last updated
- 2026-10-05
Specialties
Licenses
- License RI
- ISW04233
- License IL
- 149028454
- License CT
- 13925
Location
- Practice location
- 212 S University Ave
- City
- Carbondale IL
- Postal code
- 62901-2925
- Phone
- (203) 200-0788
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Carbondale, IL. 1,335 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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