Samantha Lynn Chiariello, PSYD, LCPC is a
Psychologist - Clinical based in Tinley Park, Illinois. Samantha Lynn Chiariello is licensed to practice in Illinois (license number 071.007988) and her current practice location is
16325 Harlem Ave, Suite 200, Tinley Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 689-4684.
NPI number for Samantha Lynn Chiariello is 1861640393 and her current mailing address is 16325 S. Harlem Ave, Suite 200, Tinley Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861640393.
Healthcare Provider's Profile
Full Name | Samantha Lynn Chiariello |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 16325 Harlem Ave, Tinley Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861640393
- Provider Enumeration Date: 09/09/2008
- Last Update Date: 11/23/2011
Medical Identifiers
Medical identifiers for Samantha Lynn Chiariello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861640393 | NPI | - | NPPES |
01623882 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.006929 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.007988 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Lynn Chiariello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Lynn Chiariello, PSYD, LCPC 16325 S. Harlem Ave, Suite 200, Tinley Park, IL 60477-1500 Ph: (708) 689-4684 | Samantha Lynn Chiariello, PSYD, LCPC 16325 Harlem Ave, Suite 200, Tinley Park, IL 60477-2509 Ph: (708) 689-4684 |
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