Jeffrey Samuels
Jeffrey Samuels is a Clinical Social Worker in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Dr David Rakofsky PC, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 9
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
1011 W Wellington Ave Ste 210Chicago, IL 60657-7187
Phone: (312) 900-8642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149023499 (IL) |
|---|
Record details
| NPI number | 1316405814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 4, 2019 |
| Last updated in NPPES | February 14, 2022 |
| Certification date | February 14, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Dr. David Rakofsky Pc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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