Individual provider Active NPI

Kathy Engle-Dulac, LMSW

  • Clinical Social Worker
  • Oakville, CT
National Provider Identifier
1316836950
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10802 Issued in CT
Practice address
20 Main St # 8
Oakville, CT 06779-1705
Phone
(203) 415-8066
Fax
(799) 415-6860
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10802 CT Primary

Addresses

Primary practice location

20 Main St # 8
Oakville, CT 06779-1705

Mailing address

20 Main St # 8
Oakville, CT 06779-1705
Phone (203) 415-8066

Other practice location 1

36 Main St
New Milford, CT 06776-6009
Phone (415) 806-6203

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

LicenseStateTypeSpecialty
10802CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hills Youth and Family Services Inc. PastSince Jul 9, 2025 Accepting new patients
Interface Center Inc Clinical PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1316836950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST # 8",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791705",
            "telephone_number": "203-415-8066",
            "fax_number": "799-415-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST # 8",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791705",
            "telephone_number": "203-415-8066",
            "fax_number": "799-415-6860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Main St",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067766009",
            "country_code": "US",
            "telephone_number": "415-806-6203",
            "fax_number": "799-415-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLE-DULAC",
        "first_name": "KATHY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.