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SAMANTHA WAYNE LICSW
NPI 1770164618
Social Worker - Clinical in Burlington, VT

Active since April 20, 2021
1138 PINE ST, BURLINGTON, VT 05401(802) 488-6000(802) 488-6919 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Wayne Licsw NPPES

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

SAMANTHA WAYNE LICSW (NPI 1770164618) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089.0134304) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1770164618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA WAYNECredential: LICSW
Location Address1138 PINE STBurlington, VT 05401-5353
Mailing Address208 Flynn Ave Ste 3jBurlington, VT 05401-5420 · (802) 488-6920 · Fax (802) 488-6919
Phone(802) 488-6000
Fax(802) 488-6919
Sole ProprietorNo
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1770164618 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 VT · 089.0134304
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.
1138 PINE ST, Burlington, VT 05401
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Other Names 1

Former Name (1)Samantha Kordonowy

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.

CHRISTINA VETTER RAISANEN BCBA
Behavior Analyst
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
SHANNON KADISH LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6600
ELYZA MOORE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ELLYN LEAMON LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 863-1326
LORA GIGUERE
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ANDREA FINE
Student in an Organized Health Care Education/Training Program
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ADAM FROWINE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
CHRISTOPHER SPODICK
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000

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 Wayne's NPI number?

The NPI number for Samantha Wayne is 1770164618. It was assigned to this individual provider in the NPPES registry on April 20, 2021. The provider is also known as Samantha Kordonowy.

Where is Samantha Wayne located?

Samantha Wayne practices at 1138 Pine St, Burlington, VT 05401. The listed phone number is (802) 488-6000.

What is Samantha Wayne's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Wayne was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.