IndividualActive
Samuel Pedersen, LSW
NPI 1538902101 · Social Worker · Chicago, IL
Samuel Pedersen, LSW is a Social Worker provider in Chicago, IL (NPI 1538902101).
Provider details
- NPI number
- 1538902101
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 150.110917 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4707 N Broadway St
Chicago, IL 60640-4999
Phone: (773) 671-3512
Street-level locationGet directions
Mailing address
2412 W Cortland St Apt 2w
Chicago, IL 60647-6670
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Frequently asked questions
- What is Samuel Pedersen's NPI number?
- Samuel Pedersen's National Provider Identifier (NPI) is 1538902101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Pedersen's specialty?
- Samuel Pedersen is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Samuel Pedersen located?
- Samuel Pedersen's practice location on file with NPPES is 4707 N Broadway St, Chicago, IL 60640-4999.
- What is Samuel Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Samuel Pedersen is (773) 671-3512.
- Is Samuel Pedersen's NPI active?
- Yes — Samuel Pedersen's NPI (1538902101) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.