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: July 19, 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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06405 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.55
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $18.88
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558796201, enumerated as an "individual" on September 12, 2013.

The provider is located at 17 OLD HICKORY LN BRANFORD, CT 06405 and the phone number is (203) 488-6411.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.