Samantha Elizabeth Clifford, LMSW
Individual provider Active NPI Social Worker · Guilford, CT
NPI 1326736588 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1326736588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7032 (CT)
- Practice address
- 264 Church St
Guilford, CT 06437-2439 - Phone
- (959) 929-2156
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20250220001684 | CT | Practitioner - Clinical Social Worker | 1850811829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Creek Wellness Group, LLC | Current |
Accepting new patients |
Locations
264 Church St
Guilford, CT 06437
Phone 2036934566 ext. 10
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7032 | CT | Yes |
Addresses
Primary practice location
264 Church St
Guilford, CT 06437-2439
Mailing address
264 Church St
Guilford, CT 06437-2439
Phone (959) 929-2156
Other providers in Guilford, CT
- Chestnut Sleep Consultants LLC
- Zeno N. Chicarilli
- Child Neurology Associates LLP
- Lori Lynn Ciccone
- Clara Bowron LLC
- Coastal Connecticut Oral & Maxillofacial Surgery
- Patricia Jane Colburn
- Dori A. Cole
- Gail Ruth Cole
- Beth Ann Collins
All providers in Guilford, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.