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SAMANTHA LIZOTTE LCSW
NPI 1073193116
Social Worker - Clinical in Wallingford, CT

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
45 FAIR ST, WALLINGFORD, CT 06492(860) 455-8517 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Apr 13, 2021 (2 updates tracked since 2021).

About Samantha Lizotte Lcsw NPPES

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

SAMANTHA LIZOTTE LCSW (NPI 1073193116) is an individual clinical provider in Wallingford, Connecticut, licensed in Connecticut (11450) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073193116
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA LIZOTTECredential: LCSW
Location Address45 FAIR STWallingford, CT 06492-4208
Mailing Address45 Fair StWallingford, CT 06492-4208 · (860) 455-8517
Phone(860) 455-8517
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 13, 2021
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1073193116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 11450
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.
45 FAIR ST, Wallingford, CT 06492
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Lizotte Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143638411
PECOS Enrollment IDI20210427000430
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 Reassignments

2

Medicare enrollment records show Samantha Lizotte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balanced Life Counseling LLC
Same address
Clinical
45 FAIR ST
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1619634177 (860) 901-7916
United Community And Family Services, Inc.
38 mi
Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
NPI 1467482539 (860) 892-7042

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 06492 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.

Other Providers at the Same Location NPPES 6

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

MR. THOMAS KENNETH RICHARD JR.
Marriage & Family Therapist
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 305-2861
AMBITIONS COUNSELING SERVICES, LLC
Counselor (Mental Health)
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 565-5403
BALANCED LIFE COUNSELING LLC
Social Worker (Clinical)
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (860) 901-7916
NEW PHASE PSYCHOTHERAPY AND COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 305-2861
EMBRACE CALMNESS COUNSELING PLLC
Counselor (Mental Health)
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (475) 441-5714
WILD EMPOWERMENT LLC
Social Worker (Clinical)
45 FAIR ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 951-1393

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 Lizotte's NPI number?

The NPI number for Samantha Lizotte is 1073193116. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Samantha Lizotte located?

Samantha Lizotte practices at 45 Fair St, Wallingford, CT 06492. The listed phone number is (860) 455-8517.

What is Samantha Lizotte's specialty?

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

Is Samantha Lizotte enrolled in Medicare?

Yes. Samantha Lizotte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Lizotte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Lizotte reassigns Medicare benefits to 2 organizations: Balanced Life Counseling LLC (Wallingford, CT) and United Community And Family Services, Inc. (Norwich, CT). Each 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 Lizotte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Lizotte accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Samantha Lizotte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Lizotte was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.