Stacy June Wayland, LICSW
Individual provider Active NPI Clinical Social Worker · Newbury, VT
NPI 1225807258 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1225807258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0135588 (VT)
- Practice address
- 4628 Main Street
Newbury, VT 05051-9172 - Phone
- (802) 222-3000
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Little Rivers Health Care, Inc.
Practice addresses (Care Compare)
4628 Main St S
Newbury, VT 05051-9712
Phone (802) 866-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240506003899 | VT | Practitioner - Clinical Social Worker | 4789024811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0135588 | VT | MD | Clinical Social Worker |
| 3184 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rivers Health Care, Inc. | Current |
Accepting new patients | |
| Little Rivers Health Care, Inc. | Current |
Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Past | Accepting new patients |
Locations
4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3184 | NH | |
| Clinical Social Worker | 1041C0700X | 089.0135588 | VT | Yes |
Addresses
Primary practice location
4628 Main Street
Newbury, VT 05051-9172
Mailing address
4628 Main Street
PO Box 8
Newbury, VT 05051-9172
Phone (802) 222-3000
Other providers in Newbury, VT
- Melaine C Lawrence MD
- Oxbow Senior Independence Program, Inc.
- Renee Lynne Schulze
- Renee Lynne Schulze
- Susan P Hanewald
All providers in Newbury, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.