JEFFREY SAMUELS
NPI 1316405814
Social Worker - Clinical in Chicago, IL

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
1011 W WELLINGTON AVE STE 210, CHICAGO, IL 60657(312) 900-8642 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2022, Mar 4, 2019 (2 updates tracked since 2019).

About Jeffrey Samuels NPPES

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

JEFFREY SAMUELS (NPI 1316405814) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149023499) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316405814
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY SAMUELS
Location Address1011 W WELLINGTON AVE STE 210Chicago, IL 60657-7187
Mailing Address1011 W Wellington Ave Ste 210Chicago, IL 60657-7187 · (312) 900-8642
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 4, 2019
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
NPI 1316405814 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 IL · 149023499
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.

1011 W WELLINGTON AVE STE 210, Chicago, IL 60657

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

Jeffrey Samuels 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 ID8729473830
PECOS Enrollment IDI20220531001351
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 60657 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 19

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

Social Worker (Clinical)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Counselor (Professional)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Counselor (Mental Health)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Social Worker
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Social Worker (Clinical)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Counselor
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Social Worker (Clinical)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657
Counselor (Professional)
1011 W WELLINGTON AVE STE 210
CHICAGO, IL 60657

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 Jeffrey Samuels's NPI number?

The NPI number for Jeffrey Samuels is 1316405814. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Jeffrey Samuels located?

Jeffrey Samuels practices at 1011 W Wellington Ave Ste 210, Chicago, IL 60657. The listed phone number is (312) 900-8642.

What is Jeffrey Samuels's specialty?

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

Is Jeffrey Samuels enrolled in Medicare?

Yes. Jeffrey Samuels is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffrey Samuels was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.