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GWENDOLYN WAYNE LCSW, CMTPT, LMT
NPI 1558796201
Social Worker - Clinical in Branford, CT

Active since September 12, 2013PECOS Enrolled
17 OLD HICKORY LN, BRANFORD, CT 06405(203) 488-6411 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwendolyn Wayne Lcsw, Cmtpt, Lmt NPPES

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

GWENDOLYN WAYNE LCSW, CMTPT, LMT (NPI 1558796201) is an individual clinical provider in Branford, Connecticut, licensed in Connecticut (8668) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2010).

NPPES Registry Identity

NPI1558796201
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGWENDOLYN WAYNECredential: LCSW, CMTPT, LMT
Location Address17 OLD HICKORY LNBranford, CT 06405-2827
Mailing AddressPo Box 515Branford, CT 06405-0515 · (203) 488-6411
Phone(203) 488-6411
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2010
Enumeration DateSeptember 12, 2013
Last NPPES UpdateMarch 9, 2015
✔ NPI 1558796201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 8668
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 ListedRehabilitation PractitionerTaxonomy 225400000X · License 000394 (CT)
17 OLD HICKORY LN, Branford, CT 06405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Wayne Lcsw, Cmtpt, Lmt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678901162
PECOS Enrollment IDI20200316002444
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 06405 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.

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 Gwendolyn Wayne's NPI number?

The NPI number for Gwendolyn Wayne is 1558796201. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Gwendolyn Wayne located?

Gwendolyn Wayne practices at 17 Old Hickory Ln, Branford, CT 06405. The listed phone number is (203) 488-6411.

What is Gwendolyn Wayne's specialty?

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

Is Gwendolyn Wayne enrolled in Medicare?

Yes. Gwendolyn Wayne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwendolyn Wayne was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.