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

Samantha Gilitiuk, LICSW

Individual provider Clinical Social Worker · NPI 1912850066

Samantha Gilitiuk, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2026
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

525 Portland Ave
Minneapolis, MN 55415-1533
Phone: (612) 919-6824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6401 France Ave S, Edina, MN 55435-2104 — (952) 924-5000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31042 (MN)

Record details

NPI number1912850066
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2026
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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