Samantha Yolanda Walton Wackford, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117139 Issued in NY

Practice address

167 Oakdale Rd
Johnson City, NY 13790-1007

Phone

(607) 600-9687

NPI assigned

Dec 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Journey Through Psychological Services LLC

  • Counseling Psychologist
  • Johnson City, NY
  • NPI 1437891645

  Clinical

  NPD

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1477419786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 STEARNS AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903022",
            "telephone_number": "607-834-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 OAKDALE RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901007",
            "telephone_number": "607-600-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON WACKFORD",
        "first_name": "SAMANTHA",
        "middle_name": "YOLANDA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "117139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Christopher Walcott, D.O.
• Ann Waldmann, CCC-SLP
• William G Waldron
• Walgreen Co.
• Anne Catherine Wallikas, M.S. CF-SLP
• Alexis Greer Wanchisen
• Zabih Ullah Warraich, MD
• Douglas Vaughn Washburn, M.ED.
• Connor Wasilnak, PA
• Linda Marie Wasser, OT

• Clinical Social Worker in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.