Samantha Allweiss | Chicago, IL • PECOS Search

Samantha Allweiss

Social Worker

Behavioral Health & Social Service Providers

247 W Scott St Apt 305, Chicago, IL 60610-5978

(847) 975-2591 (312) 569-0285

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Allweiss does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427648120
Provider Type
Individual
Full Name
Allweiss, Samantha
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/26/2021
Last Updated
1/26/2021

Contact Information

Practice Location

247 W Scott St Apt 305, Chicago, IL 60610-5978

Unlisted Fax

Mailing Location

25 E Washington St Ste 1025, Chicago, IL 60602-1710

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149018617 Illinois