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

Samantha Medina-Sullivan

Individual provider Clinical Social Worker · NPI 1902725575

Samantha Medina-Sullivan is a Clinical Social Worker in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

1218 Summerhill Rd
Wayne, NJ 07470-8474
Phone: (551) 775-8978
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 44SL07494900 (NJ)

Record details

NPI number1902725575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Other providers in Wayne