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Deactivated NPI 1467050831 Deactivated / Inactive NPI Male Practitioner

Michael Joseph Samuelson

Social Worker - Clinical • Irvine, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Samuelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2020
NPI Deactivation Date September 30, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Samuelson was a registered Social Worker - Clinical practicing in Irvine, CA. Throughout an active medical career spanning 1 years, Michael Samuelson provided care at the practice location at 19712 MACARTHUR BLVD STE 110 until profile deactivation on 2021-09-30.

Practice Location & Contact Primary Location

Practice Address

19712 Macarthur Blvd Ste 110

Irvine, CA 926122407

Telephone 9496702203
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
148 Specialists

Practicing in Irvine, CA (37073 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-10
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CA LCSW127129

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Helen Hyun , LMFT

Marriage & Family Therapist

NPI 1013208123

Licensed Marriage and Family Therapist

Rebecca Segura , LCSW

Social Worker - Clinical

NPI 1013436708

Licensed Clinical Social Worker

Lianna Huseman , LMFT

Marriage & Family Therapist

NPI 1023568391

Licensed Marriage and Family Therapist

Dr. Maria Fuster , PhD, LMFT, ATR-BC

Marriage & Family Therapist

NPI 1033472246

Doctor of Philosophy (Ph.D.), Licensed Marriage and Family Therapist, Registered Art Therapist - Board Certified

Raymond Kim

Psychologist - Clinical

NPI 1033545090
Michael Nash , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033561444

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location February 10, 2025

Registered at 19712 MACARTHUR BLVD STE 110, IRVINE, CA 926122407 (Tel: 9496702203)

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Updated Business Mailing Address February 10, 2025

Registered at 19712 MACARTHUR BLVD STE 110, IRVINE, CA 926122407 (Tel: 9496702203)

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2025

Social Worker (License #LCSW127129 in CA)

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Updated Practice Location May 05, 2022

Registered at 2801 BRISTOL ST STE 200, COSTA MESA, CA 926265996 (Tel: 7148508463)

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Updated Business Mailing Address May 05, 2022

Registered at 2801 BRISTOL ST STE 200, COSTA MESA, CA 926265996 (Tel: 7148508463)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2022

Social Worker (License #ASW103256 in CA)

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Updated Practice Location October 21, 2021

Registered at 2121 W. TEMPLE STREET, LOS ANGELES, CA 90026 (Tel: 2132607600)

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Updated Business Mailing Address October 21, 2021

Registered at 2121 W. TEMPLE STREET, LOS ANGELES, CA 90026 (Tel: 2132607600)

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Provider Name / Credentials Updated October 21, 2021

Recorded as MICHAEL SAMUELSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Social Worker

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NPI Profile Deactivated September 30, 2021

Record deactivated on September 30, 2021

NPI Profile Active October 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2020

Registered at 23501 CINEMA DR STE 200&210, VALENCIA, CA 913555428 (Tel: 6612884800)

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Updated Business Mailing Address October 16, 2020

Registered at 23501 CINEMA DR STE 200&210, VALENCIA, CA 913555428 (Tel: 6612884800)

👤
Provider Name / Credentials Updated October 16, 2020

Recorded as MICHAEL SAMUELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2020

Social Worker

🟢
Initial NPI Registration & Enumeration October 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467050831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2020
Last Update: February 10, 2025
Deactivation Date: September 30, 2021
Sole Proprietor: Yes

Mailing Address

19712 Macarthur Blvd Ste 110

Irvine, CA 926122407

Phone: 9496702203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.