Provider Demographics
NPI:1558253823
Name:CARUSO, SAMANTHA A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:A
Last Name:CARUSO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 VOLKAMER TRL
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3142
Mailing Address - Country:US
Mailing Address - Phone:708-975-4132
Mailing Address - Fax:
Practice Address - Street 1:1367 VOLKAMER TRL
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3142
Practice Address - Country:US
Practice Address - Phone:708-975-4132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149017434101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor