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SAMIA LUCINDA YESUFU
NPI 1164096152
Social Worker - Clinical in Evanston, IL

Active since May 14, 2021PECOS Enrolled
PO BOX 243, EVANSTON, IL 60204(773) 749-7703 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Sep 20, 2024, Aug 10, 2023 and 6 more (9 updates tracked since 2021).

About Samia Lucinda Yesufu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIA LUCINDA YESUFU (NPI 1164096152) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149029636) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164096152
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMIA LUCINDA YESUFU
Location AddressPO BOX 243Evanston, IL 60204-0243
Mailing AddressPo Box 243Evanston, IL 60204-0243 · (773) 749-7703
Phone(773) 749-7703
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 14, 2021
Last NPPES UpdateNovember 20, 20259 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1164096152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149029636✔ Licensed in CA · 126081
Definition
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.
PO BOX 243, Evanston, IL 60204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samia Lucinda Yesufu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860988979
PECOS Enrollment IDI20251229000735
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samia Yesufu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
631 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samia Yesufu's NPI number?

The NPI number for Samia Yesufu is 1164096152. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Samia Yesufu located?

Samia Yesufu practices at PO Box 243, Evanston, IL 60204. The listed phone number is (773) 749-7703.

What is Samia Yesufu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samia Yesufu enrolled in Medicare?

Yes. Samia Yesufu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samia Yesufu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samia Yesufu reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samia Yesufu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samia Yesufu accept?

Health plans from UnitedHealthcare list Samia Yesufu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samia Yesufu was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.