Samantha Burgos, LCSW, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Wethersfield, Connecticut
1215464052- Practice location
- 433 Silas Deane Hwy, Wethersfield, CT 06109-2123
- Phone
- 860-837-0300
- Fax
- —
- Last updated
- March 17, 2026
Samantha Burgos is a Nurse Practitioner, Psych/Mental Health based in Wethersfield, CT. Samantha Burgos practices in Wethersfield, CT and has the professional credentials of LCSW, PMHNP-BC. The NPI Number for Samantha Burgos is 1215464052 and holds a License No. 216119 (CT). The current practice location address for Samantha Burgos is 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 and can be reached out via phone at 860-837-0300.
Provider Profile Details
- NPI Number
- 1215464052
- Provider Name
- Samantha Burgos
- Credential
- LCSW, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 433 Silas Deane Hwy, Wethersfield, CT 06109-2123
- Phone Number
- 860-837-0300
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2017
- Last Update Date
- March 17, 2026
- Certification Date
- March 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 433 Silas Deane Hwy
Wethersfield, CT 06109-2123 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-2123
- Phone Number
- 860-837-0300
Provider Business Mailing Address Details
- Address
- 433 Silas Deane Hwy
Wethersfield, CT 06109-2123 - City
- Wethersfield
- State
- CT
- Zip
- 06109-2123
- Phone Number
- 860-837-0300
License Information
- License Number (1)
- 216119
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- 010825
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 016564
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha Burgos, LCSW, PMHNP-BC?
The NPI number of Samantha Burgos, LCSW, PMHNP-BC is 1215464052. It was assigned on May 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Samantha Burgos, LCSW, PMHNP-BC?
Samantha Burgos, LCSW, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 216119.
Where does Samantha Burgos, LCSW, PMHNP-BC practice?
The practice location is 433 Silas Deane Hwy, Wethersfield, CT 06109-2123. The office can be reached at 860-837-0300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215464052 directly on the NPPES registry website.