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

Samuel Pedersen, LSW

Individual provider Social Worker · NPI 1538902101

Samuel Pedersen, LSW is a Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

4707 N Broadway St
Chicago, IL 60640-4999
Phone: (773) 671-3512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.110917 (IL)

Record details

NPI number1538902101
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address2412 W Cortland St Apt 2w, Chicago, IL 60647-6670

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