Alexander Tytus Samul, LMSW
NPI 1619078987ActiveIndividual· Social Worker· Port Huron, MI
Social Worker (LMSW) in Port Huron, Michigan, trained at Wayne State University School of Medicine (class of 1996). Medicare paid $9,071 for services to 14 patients in 2024.
Overview
| NPI | 1619078987 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6801071545 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 167 across 4 procedure codes |
| Paid by Medicare | $9,071 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Clinical Social Worker |
Medical group
- St Clair County Community Mental Health AuthorityMussey, MI · 56 clinicians
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All 88 social workers in Port Huron · All social workers in Michigan