Individual provider Active NPI

Samantha Dippolino, APRN, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1952748634
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8295 Issued in CT
Practice address
435 Lewis Ave
Meriden, CT 06451-2101
Phone
(203) 694-8200
NPI assigned
Jun 4, 2013
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8295 CT Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

435 Lewis Ave
Meriden, CT 06451-2101

Mailing address

10B Mountain Rd
Farmington, CT 06032-2340

Other practice location 1

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5285

Other names 1

  • Samantha Morneault Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161216001442 CT Practitioner - Clinical Social Worker 6406136035 Reassigns benefits to 2 organizations
I20190828003466 CT Practitioner - Nurse Practitioner 6406136035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians

Practice addresses (Care Compare)

103 S Main St
Middletown, CT 06457-3651
Phone (860) 358-8760

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8295CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Oct 18, 2021 Accepting new patients
Wheeler Clinic Inc CurrentSince Jul 29, 2019 Accepting new patients
Hartford Hospital CurrentSince Nov 1, 2016 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Clinical CurrentSince Oct 18, 2021 Accepting new patients
Middlesex Hospital CurrentSince Oct 18, 2021 Accepting new patients
Hartford Hospital CurrentSince Nov 1, 2016 Accepting new patients
Wheeler Clinic Inc CurrentSince Jul 29, 2019 Accepting new patients
Hartford Hospital CurrentSince Nov 1, 2016 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

103 S Main St
Middletown, CT 06457
Phone (860) 358-8760

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: samantha.dippolino.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: sdippolino70892@middlesexhealthprd.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1952748634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10B MOUNTAIN RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512101",
            "telephone_number": "203-694-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-224-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPPOLINO",
        "first_name": "SAMANTHA",
        "credential": "APRN, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8295",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MORNEAULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.