SAMANTHA LYNNE NILSSON (LCSW) – Clinical Social Worker, NPI 1023314796
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA LYNNE NILSSON (LCSW)
199 Park Road Ext
Middlebury, CT 067621833
Phone: (203) 592-4718
Type: Location
540 Litchfield St
Torrington, CT 06790
Phone: (860) 496-6680
Fax: (860) 496-6686
Type: Location
540 LITCHFIELD ST
TORRINGTON, CT 06790
Phone: (860) 496-6680
Fax: (860) 496-6686
Type: Location
130 RICHARDSON DR
MIDDLEBURY, CT 067622124
Phone: (860) 357-1734
Type: Mailing
51 N ELM ST
WATERBURY, CT 067021545
Phone: (203) 574-4000
Fax: (203) 574-4003
Type: Location
969 W Main St Ste 3E
Waterbury, CT 067082653
Phone: (860) 357-1734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151008002044 | I | Clinical Social Worker | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 50 | 38 | $0 |
Insurance plans in this area (ZIP 06762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | CT | |
| N E U R O L O G Y | CT | |
| O T O L A R Y N G O L O G Y | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Physician Assistant | CT | |
| Hospitalist, Internal Medicine | PA | |
| P S Y C H I A T R Y | CT | |
| - | GA |
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