Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Samantha Wayne, MA, LCSW, CCM

Individual provider Clinical Social Worker · NPI 1588263602

Courtney Samantha Wayne, MA, LCSW, CCM is a Clinical Social Worker in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 742-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65528 (TX)

Record details

NPI number1588263602
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCSW , CCM
Sole proprietorNo
NPI enumeratedOctober 20, 2020
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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