Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha L Everson, LCSW

Individual provider Clinical Social Worker · NPI 1831950286

Samantha L Everson, LCSW is a Clinical Social Worker in Beloit, Wisconsin. Qualified in 2023, 3 years ago. Practices with Stateline Mental Health Services, a 20-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

540 E Grand Ave
Beloit, WI 53511-6314
Phone: (608) 368-8087
Fax: (608) 312-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12740-123 (WI)

Record details

NPI number1831950286
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address540 E Grand Ave, Beloit, WI 53511-6314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stateline Mental Health Services — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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