Samantha Rose Lueck, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33871 Issued in MN

Practice address

3490 Lexington Ave N Ste 205
Shoreview, MN 55126-8044

Phone

(651) 379-3429

NPI assigned

Nov 5, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Youth & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreview, MN
  • NPI 1639275852
  NPD
• Northeast Youth & Family Services

  • Community Health Clinic/Center
  • White Bear Lake, MN
  • NPI 1073098810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1679396931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 RICE CREEK PKWY APT 316",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265509",
            "telephone_number": "763-807-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 LEXINGTON AVE N STE 205",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268044",
            "telephone_number": "651-379-3429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 North Birch Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "55110",
            "country_code": "US",
            "telephone_number": "651-486-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUECK",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.lueck@nyfs.org",
            "affiliation": "Y",
            "affiliationName": "Northeast Youth & Family Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3490 Lexington Ave N Ste 205",
            "city": "Shoreview",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551268044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lowell Magelssen DC PA
• Rebecca Lucht
• Lucid Interpreting & Translating LLC
• Nancy Gail Ludwig, MA, LP
• Cassandra Lue
• Lori Darlene Lukovsky, DC
• John Paul Lundgren, MD
• Steven Richard Lutes, LICSW
• Lutheran Social Service
• Stephani M Ly, PHARMD

• Clinical Social Worker in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.