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: July 26, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 5

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

Social Worker (Clinical)
45 FAIR ST
WALLINGFORD, CT 06492
Counselor (Mental Health)
45 FAIR ST
WALLINGFORD, CT 06492
Counselor (Mental Health)
45 FAIR ST
WALLINGFORD, CT 06492
Marriage & Family Therapist
45 FAIR ST
WALLINGFORD, CT 06492
Clinic/Center (Mental Health (Including Community Mental Health Center))
45 FAIR ST
WALLINGFORD, CT 06492

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.

When was this NPI record last updated?

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