Taylor Sommerville Samela

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009074 Issued in CT

Practice address

1336 W Main St
Waterbury, CT 06708-3122

Phone

(860) 806-2516

NPI assigned

Jan 27, 2012

Last updated

Jun 16, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• State of Connecticut

  dba Western Connecticut Mental Health Network

  • Adult Mental Health Clinic/Center
  • Waterbury, CT
  • NPI 1841225489
  Medicare reassignment

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1821360512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GILBERT ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871441",
            "telephone_number": "203-509-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083122",
            "telephone_number": "860-806-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067083022",
            "country_code": "US",
            "telephone_number": "203-518-8218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Gilbert St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "CT",
            "postal_code": "067871441",
            "country_code": "US",
            "telephone_number": "203-509-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMELA",
        "first_name": "TAYLOR",
        "middle_name": "SOMMERVILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2024-06-16",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004068284",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malika Salieva
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• Amanda Lynn Salvatore
• Akua Amponsah Sam, MD
• Tijana Samardzic, MD
• Armin Sami, MD
• Honey L Sammartano, CSW
• Crystal Samy
• Patricia Sanchez-Gonzales
• Augustine Sanchez

• 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 Jun 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.