CHRISTIAN SAMUELSON LCSW
NPI 1922586502
Social Worker - Clinical in Detroit, MI

Q: What is Christian Samuelson's NPI number?

The NPI number for Christian Samuelson is 1922586502. It was assigned to this individual provider in the NPPES registry on August 5, 2018.

Q: What is Christian Samuelson's specialty?

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

Active since August 05, 2018PECOS Enrolled

93.89/100

CMS Quality Rating

79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535(313) 831-2608 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Sep 5, 2018, Aug 5, 2018 (3 updates tracked since 2018).

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About Christian Samuelson Lcsw NPPES

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

CHRISTIAN SAMUELSON LCSW (NPI 1922586502) is an individual clinical provider in Detroit, Michigan, licensed in Indiana (34009442A) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1922586502

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHRISTIAN SAMUELSONCredential: LCSW

Location Address79 W ALEXANDRINE STDetroit, MI 48201

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(313) 831-5535

Fax(313) 831-2608

Sole ProprietorNo

Enumeration DateAugust 5, 2018

Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1922586502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IN · 34009442A✔ Licensed in MI · 6801103121

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.

79 W ALEXANDRINE ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 16950 Hillsdale CtIndianapolis, IN 46250-2040 · Phone (317) 621-7740

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Samuelson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48201 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 $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.13

Promoting Interoperability

100

Improvement Activities

Cost

67.85

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.

LEAH WELTON MSW

Social Worker (Clinical)