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

Gwendolyn Wayne, LCSW, CMTPT, LMT

Individual provider Rehabilitation Practitioner · NPI 1558796201

Gwendolyn Wayne, LCSW, CMTPT, LMT is a Clinical Social Worker in Branford, Connecticut. Graduated from Fordham University School of Medicine in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
16
Trained at
Fordham University School of Medicine
Licensed in
CT
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

17 Old Hickory Ln
Branford, CT 06405-2827
Phone: (203) 488-6411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8668 (CT)
Rehabilitation Practitioner Taxonomy 225400000X · Licence 000394 (CT)

Record details

NPI number1558796201
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CMTPT , LMT
Sole proprietorYes
NPI enumeratedSeptember 12, 2013
Last updated in NPPESMarch 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated