MS. TRISTA SAMUELSON LCSW
NPI 1932359668
Social Worker - Clinical in Vernon, CT

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
428 HARTFORD TPKE, VERNON, CT 06066(860) 858-4947(215) 831-9887 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, Jan 18, 2022 (2 updates tracked since 2022).

About Ms. Trista Samuelson Lcsw NPPES

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

MS. TRISTA SAMUELSON LCSW (NPI 1932359668) is an individual clinical provider in Vernon, Connecticut, licensed in Connecticut (006823) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1932359668
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TRISTA SAMUELSONCredential: LCSW
Location Address428 HARTFORD TPKEVernon, CT 06066-4841
Mailing Address428 Hartford TpkeVernon, CT 06066-4841 · (860) 858-4947
Fax(215) 831-9887
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 30, 2008
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1932359668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CT · 006823 Licensed in PA · CW016916
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.
428 HARTFORD TPKE, Vernon, CT 06066

Secondary Practice Location 1

Location 1200 Retreat AveHartford, CT 06106-3309 · Phone (860) 545-7229

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

Ms. Trista Samuelson 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 ID3375605819
PECOS Enrollment IDI20081217000689
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
89 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Other Providers at the Same Location NPPES 18

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

Psychiatric Hospital
428 HARTFORD TPKE, SUITE 105
VERNON, CT 06066
Internal Medicine
428 HARTFORD TPKE
VERNON, CT 06066
Orthopaedic Surgery
428 HARTFORD TPKE, SUITE 201
VERNON, CT 06066
Marriage & Family Therapist
428 HARTFORD TPKE, SUITE 113
VERNON, CT 06066
Internal Medicine (Gastroenterology)
428 HARTFORD TPKE, SUITE 207
VERNON, CT 06066
Family Medicine
428 HARTFORD TPKE
VERNON, CT 06066
Durable Medical Equipment & Medical Supplies
428 HARTFORD TPKE, STE 210
VERNON, CT 06066
Physical Therapist
428 HARTFORD TPKE
VERNON, CT 06066

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 Trista Samuelson's NPI number?

The NPI number for Trista Samuelson is 1932359668. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Trista Samuelson located?

Trista Samuelson practices at 428 Hartford Tpke, Vernon, CT 06066. The listed phone number is (860) 858-4947.

What is Trista Samuelson's specialty?

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

Is Trista Samuelson enrolled in Medicare?

Yes. Trista Samuelson 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 Trista Samuelson was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.