Provider Demographics
NPI:1790127827
Name:TEPPER, SAMANTHA JOANNE (MSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:JOANNE
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 SATINWOOD TER
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4607
Mailing Address - Country:US
Mailing Address - Phone:224-234-3985
Mailing Address - Fax:
Practice Address - Street 1:484 SATINWOOD TER
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4607
Practice Address - Country:US
Practice Address - Phone:224-234-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker