DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK STEVEN SAMUELSON, L.C.S.W.

Active Sole Proprietor

MARK STEVEN SAMUELSON, L.C.S.W. is a Clinical Social Worker healthcare provider located in EVANSTON, Illinois. NPI 1740322502 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · EVANSTON, IL

Registration Details

NPI Number
1740322502
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2007 (19.520045366241 yrs)
Last Updated
Jun 2, 2008
License
149000936 (IL)
Sole Proprietor
Yes

Practice Information

Address
2550 CRAWFORD AVENUE
SUITE 14
EVANSTON, IL, 602014983
Browse IL providers · Browse ZIP 60201
Phone
8474759500
Fax
3127828276
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in EVANSTON, IL

Name Credential NPI
MS. JUDITH ARONSON LCSW, BCD 1700886579
MS. JACQUELINE BERMAK LCSW 1891770640
GRETCHEN GENZ DAVIDSON MSW, LCSW 1730165317
DR. ROBERT ROSS FARRA PH.D. 1679559959
MRS. RHODA R FRANKEL 1851349872
RANDI BETH SCHULMAN LCSW 1356394530
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.