Trista Samuelson, LCSW

Clinical Social Worker · Vernon, CT

Individual Active NPI

NPI number 1932359668

Practice location

428 Hartford Tpke
Vernon, CT 06066-4841
Phone
(860) 858-4947
Fax
(215) 831-9887

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NPI record

NPI
1932359668
Entity type
Individual (Type 1)
Enumeration date
September 30, 2008
Last updated
December 1, 2022
Certified
December 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 006823 CT
Clinical Social Worker 1041C0700X CW016916 PA

Other practice locations (1)

  • 200 Retreat Ave, Hartford, CT 06106-3309 · (860) 545-7229

About Trista Samuelson

Trista Samuelson, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 428 Hartford Tpke, Vernon, CT 06066-4841. The NPI number 1932359668 was assigned on September 30, 2008 and the record was last updated on December 1, 2022.

Trista Samuelson lists 2 licenses in the registry: #006823 (CT) for Clinical Social Worker; #CW016916 (PA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Trista Samuelson, LCSW?

The NPI number is 1932359668.

What is the phone number of Trista Samuelson?

The phone number listed for the practice location is (860) 858-4947.

Where is Trista Samuelson located?

428 Hartford Tpke, Vernon, CT 06066-4841.

What is the taxonomy code for Trista Samuelson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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