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SAMANTHA GILITIUK LICSW
NPI 1912850066
Social Worker - Clinical in Minneapolis, MN

Active since February 18, 2026PECOS Enrolled
525 PORTLAND AVE, MINNEAPOLIS, MN 55415(612) 919-6824 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Gilitiuk Licsw NPPES

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

SAMANTHA GILITIUK LICSW (NPI 1912850066) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (31042) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912850066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA GILITIUKCredential: LICSW
Location Address525 PORTLAND AVEMinneapolis, MN 55415-1533
Mailing Address525 Portland AveMinneapolis, MN 55415-1533
Phone(612) 919-6824
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1912850066 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 · 31042
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.
525 PORTLAND AVE, Minneapolis, MN 55415
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3577030014
PECOS Enrollment IDI20260422001197
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 55415 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 20

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

LAURIE A MOSER MA
Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-7071
COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MS. RACHEL LUKASKI LPCC
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-3016
MR. CHARLES WILSON JONES LMFT
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-2233
MS. TYNESSIA NICOLE CHEROKEE SNODDY MA, LADC, LPCC
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
KRYSTAL MCKAY
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-9840
AMANDA GREGG PSY.D., L.P.
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MRS. BERNICE DAVID-COOPER LICSW
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-1223

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 Gilitiuk's NPI number?

The NPI number for Samantha Gilitiuk is 1912850066. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Samantha Gilitiuk located?

Samantha Gilitiuk practices at 525 Portland Ave, Minneapolis, MN 55415. The listed phone number is (612) 919-6824.

What is Samantha Gilitiuk's specialty?

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

Is Samantha Gilitiuk enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Gilitiuk was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.