Samantha Lynne Nilsson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008703 Issued in CT

Practice address

51 N Elm St
Waterbury, CT 06702-1545

Phone

(203) 574-4000

Fax

(203) 574-4003

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.05 of 100Reported as group

Quality

70.34

Promoting interoperability

100

Improvement activities

40

Cost

75.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.nilsson@chcict.eclinicaldirectplus.com
• Direct secure messaging: samanthal.nilsson@xdr.hhchealthdirect.org

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.

• Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Middletown, CT
  • NPI 1952591851

  Clinical

  Medicare reassignment NPD
• Mind Body Motherhood LLC

  • Clinical Social Worker
  • Bethany, CT
  • NPI 1770105736
  NPD Authorized official
• Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1003332446
  NPD

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1023314796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RICHARDSON DR",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622124",
            "telephone_number": "860-357-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N ELM ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021545",
            "telephone_number": "203-574-4000",
            "fax_number": "203-574-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 W Main St Ste 3E",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082653",
            "country_code": "US",
            "telephone_number": "860-357-1734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Park Road Ext",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621833",
            "country_code": "US",
            "telephone_number": "203-592-4718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "06790",
            "country_code": "US",
            "telephone_number": "860-496-6680",
            "fax_number": "860-496-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "SAMANTHA",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057448",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Nicolosi, APRN
• David G Nieske, R.N.
• Barbara Nieves
• Janet I Nieves, RN
• William Nieves, MSW,BA,LMSW
• Dayana Sai Swetha Nimmalapudi
• Karen S Nipper, M.D.
• Michelle Nisenbaum, MD
• Janet Njuguna, APRN
• Michael J Nolan, PA

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.