SAMANTHA LOUISE YERKS (LICSW LGSW) – Clinical Social Worker, NPI 1336374750

SAMANTHA LOUISE YERKS (LICSW LGSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW LGSW. They hold a License No. 302641 (MN). The NPI Number for SAMANTHA LOUISE YERKS (LICSW LGSW) is 1336374750

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LOUISE YERKS (LICSW LGSW)
NPI
1336374750
Phone
(651) 271-8970
Address
4725 EXCELSIOR BLVD STE 400
Enumeration Date
29 May 2009
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634656700
Graduation Year
2013 (13 years ago)
PAC ID
3375875446
Group Practice PAC ID
9931502796
Professional Enrollment ID
I20210730002191
Address ID
MN551102752WH4801XNXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for SAMANTHA LOUISE YERKS (LICSW LGSW)

  • 4725 EXCELSIOR BLVD STE 400

    MINNEAPOLIS, MN 554163047

    Phone: (651) 271-8970

    Type: Location

  • 22130 TYPO CREEK DR NE

    WYOMING, MN 550924602

    Phone: (651) 271-8970

    Type: Mailing

  • 301 VILLAGE PKWY

    CIRCLE PINES, MN 550145008

    Phone: (612) 424-1574

    Type: Location

  • 144 2nd Ave SE

    Cambridge, MN 550081601

    Phone: (763) 465-6700

    Fax: (833) 590-9800

    Type: Location

  • North Emerson Avenue, Folwell, Camden, Minneapolis, Hennepin County, Minnesota, 55412, United States

    MINNEAPOLIS, MN 554302656

    Phone: (651) 271-8970

    Type: Mailing

  • 4801 HIGHWAY 61 N STE 204

    WHITE BEAR LK, MN 551102752

    Phone: (763) 465-6700

    Fax: (833) 590-9800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210730002191IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931502796View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Nurse PractitionerMN
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA LOUISE YERKS (LICSW LGSW)?
The registry entry for SAMANTHA LOUISE YERKS (LICSW LGSW) shows NPI 1336374750.
Quick check: is SAMANTHA LOUISE YERKS (LICSW LGSW) active?
Public NPPES data shows SAMANTHA LOUISE YERKS (LICSW LGSW) with an active NPI status right now.
Which specialty label fits SAMANTHA LOUISE YERKS (LICSW LGSW)?
NPPES ties SAMANTHA LOUISE YERKS (LICSW LGSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SAMANTHA LOUISE YERKS (LICSW LGSW) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, SAMANTHA LOUISE YERKS (LICSW LGSW) may be relevant to your search.
Can I export SAMANTHA LOUISE YERKS (LICSW LGSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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