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SAMANTHA JO PREUSSER MSW, LICSW
NPI 1730651316
Social Worker - Clinical in Plymouth, MN

Active since December 20, 2018PECOS Enrolled
4100 BERKSHIRE LN N STE 250, PLYMOUTH, MN 55446(612) 223-8898 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2025, Oct 7, 2024, Apr 30, 2019 and 1 more (4 updates tracked since 2018).

About Samantha Jo Preusser Msw, Licsw NPPES

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

SAMANTHA JO PREUSSER MSW, LICSW (NPI 1730651316) is an individual clinical provider in Plymouth, Minnesota, licensed in Minnesota (23666) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730651316
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA JO PREUSSERCredential: MSW, LICSW
Location Address4100 BERKSHIRE LN N STE 250Plymouth, MN 55446-3813
Mailing Address4100 Berkshire Ln N Ste 250Plymouth, MN 55446-3813 · (612) 223-8898
Phone(612) 223-8898
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 20, 2018
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1730651316 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 MN · 23666
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.
4100 BERKSHIRE LN N STE 250, Plymouth, MN 55446
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Other Names 1

Professional Name (2)Samantha Jopreusser Green Msw, Licsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Jo Preusser Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931536398
PECOS Enrollment IDI20200224002524, I20241209001614
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 Samantha Preusser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthwise Psychology, PA
5.9 mi
Clinical
11280 86TH AVE N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
NPI 1184920753 (763) 400-7828

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 55446 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 7

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

COURTNEY HENNIS LPC
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
FAITH NYAENYA
Nurse Practitioner (Psychiatric/Mental Health)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
ANDREW CARSON MA
Counselor (Mental Health)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
LINDSAY JOHNSON PSYD
Psychologist
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
KAYLA MARIE DJONNE MSW, LICSW
Social Worker (Clinical)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
PAUL BARRY BENSON
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
MICHAELA BURNS LAULAINEN
Counselor
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898

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 Samantha Preusser's NPI number?

The NPI number for Samantha Preusser is 1730651316. It was assigned to this individual provider in the NPPES registry on December 20, 2018. The provider is also known as Samantha Jopreusser Green Msw, Licsw.

Where is Samantha Preusser located?

Samantha Preusser practices at 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446. The listed phone number is (612) 223-8898.

What is Samantha Preusser's specialty?

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

Is Samantha Preusser enrolled in Medicare?

Yes. Samantha Preusser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Preusser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Preusser reassigns Medicare benefits to Healthwise Psychology, PA (Maple Grove, MN). 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 Samantha Preusser'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 Samantha Preusser was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.