Samuel Pedersen, LSW

NPI 1538902101 · on the registry since 2024 · sole proprietor

Practice

Address: 4707 N Broadway St
Chicago, IL 60640
Phone: (773) 671-3512
Organisation at this address: Ekn Lcpc Pllc
April Kopp Lcsw Pllc
Cambridge Care Group
Erin Tinnon, Lcsw, Pllc
Kanika Shukul, Lcpc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois