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SAMARA LYNCH LCSW
NPI 1720890965
Social Worker - Clinical in Park Forest, IL

Active since January 24, 2025PECOS EnrolledAccepts Medicare Assignment
404 WINNEBAGO ST, PARK FOREST, IL 60466(773) 269-1927 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samara Lynch Lcsw NPPES

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

SAMARA LYNCH LCSW (NPI 1720890965) is an individual clinical provider in Park Forest, Illinois, licensed in Illinois (149.028675) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720890965
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMARA LYNCHCredential: LCSW
Location Address404 WINNEBAGO STPark Forest, IL 60466-1320
Mailing Address404 Winnebago StPark Forest, IL 60466-1320 · (773) 269-1927
Phone(773) 269-1927
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1720890965 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 · 149.028675
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.
404 WINNEBAGO ST, Park Forest, IL 60466
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samara Lynch 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 ID345709960
PECOS Enrollment IDI20260825001494
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 Samara Lynch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
37 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

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 60466 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

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

TRIBE WORKS BEHAVIORAL SERVICES, LLC
Social Worker (Clinical)
404 WINNEBAGO ST
PARK FOREST, IL 60466
Cook County (773) 269-1927

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 Samara Lynch's NPI number?

The NPI number for Samara Lynch is 1720890965. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Samara Lynch located?

Samara Lynch practices at 404 Winnebago St, Park Forest, IL 60466. The listed phone number is (773) 269-1927.

What is Samara Lynch's specialty?

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

Is Samara Lynch enrolled in Medicare?

Yes. Samara Lynch 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.

Which organization bills Medicare for Samara Lynch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara Lynch reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, 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 Samara Lynch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samara Lynch was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.