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SAMANTHA LYNNE NILSSON LCSW
NPI 1023314796
Social Worker - Clinical in Waterbury, CT

Active since January 28, 2011PECOS Enrolled
83.3/100
CMS Quality Rating
51 N ELM ST, WATERBURY, CT 06702(203) 574-4000(203) 574-4003 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Jul 20, 2023, May 23, 2018 and 1 more (4 updates tracked since 2016).

About Samantha Lynne Nilsson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LYNNE NILSSON LCSW (NPI 1023314796) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (008703) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023314796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA LYNNE NILSSONCredential: LCSW
Location Address51 N ELM STWaterbury, CT 06702-1545
Mailing Address130 Richardson DrMiddlebury, CT 06762-2124 · (860) 357-1734
Phone(203) 574-4000
Fax(203) 574-4003
Sole ProprietorNo
Enumeration DateJanuary 28, 2011
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1023314796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 008703
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
51 N ELM ST, Waterbury, CT 06702
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Secondary Practice Locations 3

Location 1969 W Main St Ste 3EWaterbury, CT 06708-2653 · Phone (860) 357-1734
Location 2199 Park Road ExtMiddlebury, CT 06762-1833 · Phone (203) 592-4718
Location 3540 Litchfield StTorrington, CT 06790 · Phone (860) 496-6680 · Fax (860) 496-6686

Other Identifiers 1

Medicaid008057448CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Lynne Nilsson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Nilsson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Inc
20 mi
Federally Qualified Health Center (FQHC)
675 MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1952591851 (860) 347-6971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.16
Promoting Interoperability100
Improvement Activities40
Cost56.9

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY JENNIFER COX LCSW
Social Worker (Clinical)
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (603) 476-9718
ANGELICA CAMARGO LCSW
Social Worker (Clinical)
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
VERENICE TORRES B.S.
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
CATARINA LALLY PSYD
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
LARRYL L DAMON JR. D.O
Pediatrics
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
MRS. KRISTI MARIA BROWNING APRN
Nurse Practitioner
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
ROSARIMAR RODRIGUEZ SANTIAGO PSYD
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000
DR. RUSSELL DAVID HIMMELSTEIN MD
Pediatrics
51 N ELM ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Nilsson's NPI number?

The NPI number for Samantha Nilsson is 1023314796. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Samantha Nilsson located?

Samantha Nilsson practices at 51 N Elm St, Waterbury, CT 06702. The listed phone number is (203) 574-4000.

What is Samantha Nilsson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Nilsson enrolled in Medicare?

Yes. Samantha Nilsson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Nilsson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Nilsson reassigns Medicare benefits to Community Health Center Inc (Middletown, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Nilsson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Nilsson was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.