Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA MADEJ THEUS LCSW
NPI 1265049621
Social Worker - Clinical in North Olmsted, OH

Q: What is Samantha Madej Theus's NPI number?

The NPI number for Samantha Madej Theus is 1265049621. It was assigned to this individual provider in the NPPES registry on September 29, 2020. The provider is also known as Samantha Madej.

Q: What is Samantha Madej Theus's specialty?

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

Active since September 29, 2020PECOS EnrolledAccepts Medicare Assignment

25111 COUNTRY CLUB BLVD STE 290, NORTH OLMSTED, OH 44070(216) 468-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, Mar 12, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2020).

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About Samantha Madej Theus Lcsw NPPES

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

SAMANTHA MADEJ THEUS LCSW (NPI 1265049621) is an individual clinical provider in North Olmsted, Ohio, licensed in Ohio (I.2506241) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265049621

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA MADEJ THEUSCredential: LCSW

Location Address25111 COUNTRY CLUB BLVD STE 290North Olmsted, OH 44070-5330

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (216) 468-5000

Phone(216) 468-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 29, 2020

Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1265049621 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 OH · I.2506241

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.

25111 COUNTRY CLUB BLVD STE 290, North Olmsted, OH 44070

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Other Names 1

Former Name (1)Samantha Madej

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Madej Theus Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597288910

PECOS Enrollment IDI20250326003096

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44070 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 14

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

KAILEY VILYUS

Counselor (Professional)