Active NPI
Katheryn Jeanne Cloud, LCSW
- Clinical Social Worker
- Groton, CT
National Provider Identifier
1245929173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 010130
- Practice address
- 88 Georgia St
Groton, CT 06340-6123 - Phone
- (860) 938-3925
- NPI assigned
- May 5, 2023
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 010130 | CT | Primary |
Addresses
Primary practice location
88 Georgia St
Groton, CT 06340-6123
Mailing address
88 Georgia St
Groton, CT 06340-6123
Phone (860) 938-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010130 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1245929173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 GEORGIA ST",
"city": "GROTON",
"state": "CT",
"postal_code": "063406123",
"telephone_number": "860-938-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 GEORGIA ST",
"city": "GROTON",
"state": "CT",
"postal_code": "063406123",
"telephone_number": "860-938-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUD",
"first_name": "KATHERYN",
"middle_name": "JEANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "010130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.