Individual provider Active NPI

Kirsten Coveney, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1093867509
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009425 Issued in CT
Practice address
228 Saugatuck Ave Ste 2E
Westport, CT 06880-6444
Phone
(475) 888-3084
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077148 NY
Clinical Social Worker 1041C0700X 009425 CT Primary

Addresses

Primary practice location

228 Saugatuck Ave Ste 2E
Westport, CT 06880-6444

Mailing address

12 Edlie Ave
Norwalk, CT 06855-1215
Phone (347) 320-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001951 CT Practitioner - Clinical Social Worker 4082840707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Hartford, CT 06103
Phone (323) 205-7088

15 N Main St
Suite 100
West Hartford, CT 06107-1957
Phone (860) 952-9677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077148NYMDClinical Social Worker
009425CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Itherapy Anywhere LLC CurrentSince Jul 15, 2023 Accepting new patients
Metropolitan Corporation for Life Skills Past Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463

15 N Main St
Ste 100
West Hartford, CT 06107
Phone (214) 532-3757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1093867509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EDLIE AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068551215",
            "telephone_number": "347-320-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SAUGATUCK AVE STE 2E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068806444",
            "telephone_number": "475-888-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVENEY",
        "first_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077148",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.