Katheryn Jeanne Cloud, LCSW
Individual provider Active NPI Clinical Social Worker · Groton, CT
NPI 1245929173 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1245929173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 010130 (CT)
- Practice address
- 88 Georgia St
Groton, CT 06340-6123 - Phone
- (860) 938-3925
- NPI assigned
- May 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010130 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 010130 | CT | Yes |
Addresses
Primary practice location
88 Georgia St
Groton, CT 06340-6123
Mailing address
88 Georgia St
Groton, CT 06340-6123
Phone (860) 938-3925
Other providers in Groton, CT
- Patrick Joseph Clayton
- Nicholas Andrew Clear
- John David Clelland III
- Toddy Clements
- Jason Jack Close
- Cloutier Family Practice LLC
- Josee Diane Cloutier
- Acea Cluff
- Coastal Counseling LLC
- Coastal Imaging LLC
All providers in Groton, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.