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

MS. Trista Samuelson, LCSW

Individual provider Clinical Social Worker · NPI 1932359668

MS. Trista Samuelson, LCSW is a Clinical Social Worker in Vernon, Connecticut. Qualified in 2006, 20 years ago. Practices with Hartford Hospital, a 1,040-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Pennsylvania.

Years since qualifying
20
Licensed in
CT, PA
In the registry since
2008
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.

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Practice location Address checks out

428 Hartford Tpke
Vernon, CT 06066-4841
Phone: (860) 858-4947
Fax: (215) 831-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Retreat Ave, Hartford, CT 06106-3309 — (860) 545-7229

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 006823 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW016916 (PA)

Record details

NPI number1932359668
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing address428 Hartford Tpke, Vernon, CT 06066-4841

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Hartford Hospital — 1040 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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