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SAM CLUBB LCSW
NPI 1174230130
Social Worker - Clinical in Chicago, IL

Active since October 31, 2022PECOS Enrolled
1023 W IRVING PARK RD, CHICAGO, IL 60613(832) 623-9257 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2023, Oct 31, 2022 (2 updates tracked since 2022).

About Sam Clubb Lcsw NPPES

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

SAM CLUBB LCSW (NPI 1174230130) is an individual clinical provider in Chicago, Illinois, licensed in Texas (68633) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174230130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAM CLUBBCredential: LCSW
Location Address1023 W IRVING PARK RDChicago, IL 60613-2913
Mailing Address1023 W Irving Park RdChicago, IL 60613-2913
Phone(832) 623-9257
Sole ProprietorNo
Enumeration DateOctober 31, 2022
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1174230130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 68633
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.
1023 W IRVING PARK RD, Chicago, IL 60613
Open in Google Maps ↗

Other Identifiers 2

Medicaid149025285IL
Medicaid68633TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Clubb Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sam Clubb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Howard Brown Health Center
0.1 mi
Federally Qualified Health Center (FQHC)
4025 N SHERIDAN RD
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
NPI 1306048632 (773) 388-1600

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 60613 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASZ MCCARTHY LMSW
Social Worker (Clinical)
1023 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (773) 388-1600
TORRENCE VAZQUEZ LCSW
Social Worker (Clinical)
1023 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (773) 388-1600
VALERIA LAZO
Social Worker (Clinical)
1023 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (786) 302-1182
BISHOP HOWARD
Social Worker (Clinical)
1023 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (773) 388-1600

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 Sam Clubb's NPI number?

The NPI number for Sam Clubb is 1174230130. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Sam Clubb located?

Sam Clubb practices at 1023 W Irving Park Rd, Chicago, IL 60613. The listed phone number is (832) 623-9257.

What is Sam Clubb's specialty?

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

Is Sam Clubb enrolled in Medicare?

Yes. Sam Clubb is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Clubb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Clubb reassigns Medicare benefits to Howard Brown Health Center (Chicago, IL). 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 Sam Clubb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Clubb accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Cigna Healthcare and Oscar Health list Sam Clubb 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 Sam Clubb was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.