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

Stacy June Wayland, LICSW

Individual provider Clinical Social Worker · NPI 1225807258

Stacy June Wayland, LICSW is a Clinical Social Worker in Newbury, Vermont. Qualified in 2019, 7 years ago. Practices with Little Rivers Health Care, Inc, a 30-clinician group and accepts Medicare assignment. Licensed in New Hampshire and Vermont.

Years since qualifying
7
Licensed in
NH, VT
In the registry since
2024
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4628 Main St
Newbury, VT 05051-9172
Phone: (802) 222-3000
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 089.0135588 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3184 (NH)

Record details

NPI number1225807258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Little Rivers Health Care, Inc. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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