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Active NPI 1740322502 Individual Practitioner Male Practitioner

Mark Steven Samuelson , LCSW

Social Worker - Clinical • Evanston, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Samuelson, LCSW is a certified Social Worker - Clinical practicing in Evanston, IL. With approximately 47 years of clinical experience since completing medical education in 1979, Mark Samuelson delivers high-quality medical care to the local community at 2550 CRAWFORD AVENUE.

Mark Samuelson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2550 Crawford Avenue
Suite 14

Evanston, IL 602014983

Telephone 8474759500
Fax 3127828276

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Evanston, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
47 Yrs +22.6 yrs vs City Avg
City Avg: 24.4 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
407 Specialists

Practicing in Evanston, IL (14000 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (47 Years) 47 Yrs
Evanston Specialty Average (24.4 Years) 24.4 Yrs

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149000936

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Of Illinois
016-71240 (IL)
Commercial Insurance / Payer ID Dept. Of Labor Owcp
348588200 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jennifer Nudell , LPC

Counselor - Professional

NPI 1124469507

Licensed Professional Counselor

Barbara Noonan , LCPC

Counselor - Mental Health

NPI 1144387002

Licensed Clinical Professional Counselor

Anna Andersen , LPC

Counselor - Professional

NPI 1154907111

Licensed Professional Counselor

NPI 1245312941

MALCPC

Sharday Love , LPC

Counselor - Professional

NPI 1396126090

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2008

Registered at 2550 CRAWFORD AVENUE, SUITE 14, EVANSTON, IL 602014983 (Tel: 8474759500)

📍
Updated Business Mailing Address June 02, 2008

Registered at 2550 CRAWFORD AVENUE, SUITE 14, EVANSTON, IL 602014983 (Tel: 8474759500)

👤
Provider Name / Credentials Updated June 02, 2008

Recorded as MARK SAMUELSON, L.C.S.W.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Social Worker (License #149000936 in IL)

🟢
Initial NPI Registration & Enumeration February 12, 2007

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: 1740322502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: June 02, 2008
Sole Proprietor: Yes

Mailing Address

2550 Crawford Avenue, Suite 14

Evanston, IL 602014983

Phone: 8474759500

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.