Kathryn Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Derby, CT
NPI 1376796466 · NPPES record last updated Nov 3, 2008
Key facts
- NPI
- 1376796466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 005719 (CT)
- Practice address
- 30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802 - Phone
- (203) 954-0543
- Fax
- (203) 954-0544
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 005719 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Naugatuck Valley Parent Child Resource Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005719 | CT | Yes |
Addresses
Primary practice location
30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802
Mailing address
30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802
Phone (203) 954-0543
Other providers in Derby, CT
- Mohammed Abbas
- Jenny Abdulkarim
- Ahmed Abdullah
- Binta Fatima Zahra Abdullahi
- Racha Abi Melhem
- Nicholas Charles Adams
- Divya Aggarwal
- Jorge Augusto Aguilar Espinal
- Karla Maria Ahearn
- Timothy Akojenu
All providers in Derby, 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 Nov 3, 2008. 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.