Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Steven Samuelson, LCSW

Individual provider Clinical Social Worker · NPI 1740322502

Mark Steven Samuelson, LCSW is a Clinical Social Worker in Evanston, Illinois. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
47
Licensed in
IL
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2550 Crawford Ave Ste 14
Evanston, IL 60201-4983
Phone: (847) 475-9500
Fax: (312) 782-8276
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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 149000936 (IL)

Record details

NPI number1740322502
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJune 2, 2008
Mailing address2550 Crawford Avenue, Suite 14, Evanston, IL 60201-4983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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