Individual provider · Type 1 NPI

Samantha Yolanda Walton Wackford, LMSW

Clinical Social Worker · Johnson City, NY

NPI number 1477419786 Active

Practice location

167 Oakdale Rd
Johnson City, NY 13790-1007

Mailing address

9 Stearns Ave
Johnson City, NY 13790-3022

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X117139 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1477419786

Samantha Yolanda Walton Wackford, LMSW's National Provider Identifier is 1477419786, issued on Dec 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, NY. The record was last updated on Dec 30, 2025.